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Fy2013 Annual Report REPUBLIC OF THE MARSHALL ISLANDS MINISTRY OF HEALTH FY2013 ANNUAL REPORT FY2013 Ministry of Health Annual Report Page 2 Republic of the Marshall Islands MESSAGE FROM THE MINISTER AND SECRETARY OF HEALTH We are quite pleased to present to you the MOH Annual Report for FY2013. The Ministry of Health continues to escalate the level of health care being provided to the citizens of the Republic of the Marshall Islands. This annual report is presented in a different manner compare to the ones submitted during the previous years. As such, this annual report includes how the Ministry of Health has been performing reflecting the MDG required indicators as well as the over-arching measures and Ministry’s management indicators. The annual report also attempts to openly present the current situation of the Non-Communicable Disease (NCD) and the risk factors therein; namely diabetes mellitus; cancer of all types being treated; medical conditions related to tobacco misuse; cardio-vascular diseases, respiratory infection and the like. Bulk of the diseases, medical conditions and complications reported are preventable and can be reduced and/or eliminated with simple personal hygiene, understanding how to create a healthy life and simple changes in lifestyles to take charge of one’s own health and healthy choice. Passage and enforcement of stronger laws, regulations and school policies aimed at unhealthy foods, tobacco, betel nut, alcohol and physical activity are urgently needed to control NCDs. FY2013 Ministry of Health Annual Report Page 3 Republic of the Marshall Islands The annual report was written for the readers to be able to understand the current situation of our health status. The statistical data, tables and other graphs presented can easily be understood. It is with an understanding that we will still be facing with numerous challenges given the cross-cutting issues which are beyond the reach and control of the Ministry of Health. However, with robust and proactive collaborations with other government sectors, faith based organizations and, of course civil societies, RMI can remedy many of these health challenges we have at the present time. The Ministry of Health and we extend our sincere gratitude and thanks to our traditional leaders, our local partner, our local governments for their continued supports. We also extend our acknowledgement to our international partners like WHO, SPC, CDC, Japan, Australia for their supports. Finally, would like to give a special acknowledgement to His Excellency President Chrsistopher J. Loeak and the Government of the Republic of the Marshall Islands for its continued supports to the Ministry of Health. FY2013 Ministry of Health Annual Report Page 4 Republic of the Marshall Islands CONTENTS MESSAGE FROM THE MINISTER AND SECRETARY OF HEALTH ................................................................................................ 3 INTRODUCTION ................................................................................................................................................................ 7 ORGANIZATIONAL CHART .................................................................................................................................................. 9 Population .................................................................................................................................................................... 11 Life Expectancy ...................................................................................................................................................... 15 Infant Mortality Rate – MDG, FY2009-FY2013 .................................................................................................... 15 Under-five mortality rate (U5MR) – MDG, FY2009-FY2013 ............................................................................... 16 Maternal Mortality Ratio – MDG, FY2009-FY2013 .............................................................................................. 17 5 Leading Cause of Mortality, FY2009-FY2013 ................................................................................................... 18 5 Leading Cause of Infant Death, FY2010-FY2013 .............................................................................................. 18 Top 10 Outpatient Diagnosis, FY2013 .................................................................................................................... 19 Top 10 Admission Diagnosis, FY2013 .................................................................................................................. 20 Non Communicable Disease (NCD) Indicators ........................................................................................................ 21 30 Day Tobacco Smoking Prevalence ................................................................................................................... 22 Current Cigarette Smokers, Adult and Youth Under 18, 2010 and 2012 ....................................................... 22 30 Day Alcohol Use Prevalence ............................................................................................................................. 22 Current Alcohol Use, Adult and Youth Under 21, 2010 and 2012 .................................................................. 22 Overweight and Obesity High School Youth and Adults ..................................................................................... 22 Prevalence of Diabetes........................................................................................................................................... 23 Registered Diabetic Patient in Majuro, FY2012-FY2013........................................................................................ 23 Cancer Morbidity and Mortality Rate ................................................................................................................... 24 Incidence and Prevalence of Cancer ..................................................................................................................... 24 Registered New Cancer Cases Per Site FY2013 ...................................................................................................... 24 Mortality Rate of Cancer ........................................................................................................................................ 25 Cancer as Primary or Secondary Cause of Death FY2013 ...................................................................................... 25 Communicable Diseases Indicators .......................................................................................................................... 26 Tuberculosis Incidence and Cure Rates ............................................................................................................... 26 FY2013 Registered TB Cases ............................................................................................................................. 26 Incidence and Cure Rate of Leprosy ..................................................................................................................... 27 Incidence and Cure Rate of Leprosy, FY2010-FY2013 .................................................................................... 27 FY2013 Registered Leprosy Cases .................................................................................................................... 27 Immunization ......................................................................................................................................................... 27 Proportion of 1 year old children immunized against measles, FY2009-FY2013 ............................................ 27 Immunization Coverage for Children 19-35 months, RMI, FY2010-FY2013 ........................................................ 28 Immunization Coverage for Children 19-35 months, Per Vaccine, RMI, FY2013 ................................................ 28 Overarching Measures ....................................................................................................................................... 29 Teen Pregnancy, FY2010-FY2013 ........................................................................................................................ 29 Summary of Birth, FY2010-FY2013...................................................................................................................... 29 FY2013 Ministry of Health Annual Report Page 5 Republic of the Marshall Islands Contraceptive Prevalence Rate, FY2010-FY2013 ................................................................................................ 30 Antenatal Care Coverage, FY2009-FY2013 .......................................................................................................... 30 Births Attended by Skilled Health Personnel, FY200-FY2010 ........................................................................... 31 HIV/AIDS Prevalence ............................................................................................................................................. 31 HIV Prevalence Rate for 15-49 years old ............................................................................................................ 31 Cumulative HIV Cases from 1984-2013 ................................................................................................................. 32 Summary of Death Indicators ..............................................................................................................................
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