Trend Analysis and Sector Profiles ANE and E

1
Trend Analysis and Sector ProfilesANE and EE
Regions
2
Total Fertility, 1990-2000
Replacement Level Fertility 2.1
Source DHS/RHS1990-2001 and PRB 2001 Data Sheet.
3
Maternal Mortality Ratios and Attended Births in
ANE Region
No current USAID PHN funding
Source UNICEF State of the Worlds Children,
2002. DHS and WHO/Hill data used when UNICEF
data not available.
4
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
5
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 Worlds Children 2002, UNICEF
6
Under-5 mortality rateUSAID-assisted
countries-progress towards benchmarksEurope/NISB
ars reflect change in under-5 mortality rate,
1990-1997
Estimated 2007 plan average 35
APP 99 baseline average 51
BUCEN average 1997 44
APP 99 plan average 1999 47
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.
7
Malaria in ANE Region
8
Trends in TB Case Notification Rates in EE DOTS
Countries
Source WHO Global Tuberculosis Report, 2002
9
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

10
HIV Trends in Eastern Europe Central Asia and
Western Europe, 1993 - 2001
Source Report on the Global HIV/AIDS Epidemic,
UNAIDS July 2002
11
Population Pyramids, 2000
Romania
Cambodia
Population in Thousands
Population in Thousands
Source US Bureau of the Census, International
Data Base
12
Causes of Death in ANE Region, 2000
Source WHO World Health Report, 2001
13
Causes of Death in EE Region, 2000
Source WHO World Health Report, 2001
14
Population Sector
15
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.
16
Percentage of Population Living on Less Than 2 a
Day in EE Region
Source 2001 World Development Report/ The World
Bank
17
Total Fertility and Modern Contraceptive
Prevalence in ANE Region
No current USAID PHN funding
Source PRB 2001 Population Data Sheet
18
Contraceptive Prevalence Modern Methods in EE
Region
Source DHS or RHS, most recent surveys,
1993-2001, or PRB 2001 Population Data Sheet if
DHS/RHS data not available.
19
Total Fertility Rate and Total Induced Abortion
Rate in EE Region
Source DHS or RHS, data from most recent survey,
1993-2001, or PRB 2001 Population Data Sheet if
DHS/RHS data not available.
20
Outcome of Pregnancy in EE 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.
21
Unmet Need for Family Planning Services (Modern
Methods) in EE Region
Source DHS or RHS, data from most recent survey,
1993-2000, or PRB 2001 Population Data Sheet if
DHS/RHS data not available.
22
Maternal and Child Health Sector
23
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.
24
Infant Mortality in EE Region, 1990-2000
Source DHS or RHS, data from most recent survey,
1990-2001. UNICEF, State of the Worlds Children
2002, 2000 data for CZ, MD, RU, and UA.
25
Under-5 mortality rateUSAID-assisted
countries-progress towards benchmarksAsia/Near
EastBars reflect change under-5 mortality rates,
1990-1997
Estimated 2007 plan 74
APP 99 plan average 1999 56
APP 99 baseline average 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.
26
Under-5 Mortality Rates and Immunization Coverage
in ANE Region, 2000
No current USAID PHN funding
Source UNICEF, State of the Worlds Children,
2002
27
Immunization Coverage in Selected EE 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.
UNICEFs data for the same period of time
indicate 80.5 coverage. Tajikistans official
data is for 1998.
28
Maternal Mortality Ratios in EE Region, 1995
Source Hill, Abou Zahr, and Wardlaw, 2001
29
HIV/AIDS Sector
30
Adult HIV Prevalence in ANE Region, 2001
Maharashtragt2 Andhra Pradeshgt2 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
31

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
32
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
33
Source Synergy, 2001.
34
DRAFT
Source Synergy, 2001.
35
HIV Prevalence Rate and Adults Living with
HIV/AIDS in EE Region, 2001
Country HIV Prevalence Rate
Estonia 1.0
Ukraine 1.0
Russia 0.9
Latvia 0.4
Belarus 0.3
Armenia 0.2
Moldova 0.2
Hungary 0.1
Kazakhstan 0.1
Lithuania 0.1
Poland 0.1
Eastern Europe Central Asia 0.5
Percent Adults Living with HIV/AIDS in Eastern
and Central Asia
Total Adults Living with HIV/AIDS 1,000,000
Source UNAIDS, July 2002.
36
Infectious Diseases Sector
37
Causes of Death in ANE Region, 2000
WHO regions Source WHO World Health Report, 2001
38
Infectious Disease Deaths in ANE Region, 2000
Source WHO World Health Report, 2001
39
Estimated New Tuberculosis Cases in ANE Region,
2000
Source WHO Global Tuberculosis Report, 2002
40
Tuberculosis Incidence in ANE Region, 2000
No current USAID PHN funding
Source WHO Global Tuberculosis Report, 2002
41
Malaria Cases in ANE Region, 1999/2000
Country Number of Malaria Cases 1999/2000
Afghanistan 395,581
Bangladesh 60,396
Cambodia 62,439
China 18,620
India 1,910,000
Laos 40,006
Myanmar 124,630
Nepal 7,616
Pakistan 82,526
Philippines 36,596
Sri Lanka 210,039
Thailand 91,703
Vietnam 74,316
Source WHO, Roll Back Malaria Web site, Country
Profiles
42
Emerging Issues
43
Life Expectancy in EE Region, 1990-2000
Women
CEE
2.5 Increase
NIS
1.1 Decrease
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.
44
Distribution of Chronic Disease Deaths in EE
Region, 2000
Source WHO World Health Report, 2001
45
Trends in Cigarette Consumption in EE Region,
1990s
Note Turkey data is for 1998.
Source The American Cancer Society, Inc.
Tobacco Control Country Profiles, 2000.