Part I

Health-related Millennium Development Goals

Summary of status and trends

Health is at the heart of the Millennium Development Goals (MDGs). Goals 4, 5 and 6 specifically focus on health, but all the MDGs have health-related aspects; achieving them will not be possible without progress on food security, gender equality, the empowerment of women, wider access to education and better stewardship of the environment. At the midpoint between 2000 and 2015, the analysis shows encouraging signs of progress, particularly in child health; it points to areas where current gains need to be sustained, particularly in relation to AIDS, tuberculosis and malaria; and areas where there has been little or no movement, notably maternal and newborn health. More detailed and updated data for 2008, reported in World Health Statistics 2009, show major differences in progress between and within countries and regions. Looking forward to 2015 and beyond, the challenges presented by weak health systems, the health transition and emerging health threats will become increasingly prominent. Overall, the proportion of children under five years of age suffering from under-nutrition (according to the WHO Child Growth Standards) declined from 27% in 1990 to 20% in 2005. However, progress has been uneven and an estimated 112 million children are underweight. Undernutrition is an underlying cause in more than one third of child deaths. In 2007, there were an estimated 9 million child deaths, significantly fewer than the 12.5 million estimated in 1990, with a 27% decline in the under-5 mortality rate over that period to 67 per 1000 live births in 2007. Reducing child mortality increasingly depends on tackling neonatal mortality; globally, an estimated 37% of deaths among children under five occurs in the first month of life, most in the first week. Countries making the least progress are generally those affected by high levels of HIV/ AIDS, economic hardship or conflict. Much of the progress in reducing child mortality can be attributed to increased immunization coverage, use of oral rehydration therapies during episodes of diarrhoea, use of insecticide-treated mosquito nets, access to artemisinin-based combination therapies, efforts to eliminate disease due to Haemophilus influenzae type b infection and reduced disease incidence due to improved water and sanitation. However, because the availability and use of proven interventions at community level remain low, pneumonia and diarrhoea still kill 3.8 million children under five each year. Every year some 536 000 women die of complications during pregnancy or childbirth, 99% of them in developing countries. The global maternal mortality ratio of 400 maternal deaths per 100 000 live births in 2005 has barely changed since 1990. Most maternal deaths occur in the African Region, where the maternal mortality ratio is 900 per 100 000 live births, with no measureable improvement between 1990 and 2005. Progress in reducing maternal mortality and morbidity depends on better access to, and use of, good maternal and reproductive health services. The proportion of pregnant women in the developing world who had at least one antenatal care visit increased from slightly more than half at the beginning of the 1990s to almost three quarters a decade later. Over the period 20002008, 65% of births globally were attended by skilled health personnel, 4% more than in 19901999. Globally, the contraceptive prevalence rate increased from 59% in 19901995 to 63% in 2000 2006. Nonetheless, in some regions it remains very difficult to reduce the considerable unmet need for family planning and the high rates of adolescent fertility. Globally, there were 48 births for every 1000 women aged 1519 years in 2006, only a small decline from 51 per 1000 in 2000.

10

In 2006, an estimated 3300 million people were at risk of malaria. Of these, some 1200 million were in the high-risk category (living in areas with more than one reported case of malaria per 1000 population per year). Although it is still too early to register global changes in impact, 27 countries (including five in Africa) have reduced reported cases of the disease and/or deaths resulting from it by up to 50% between 1990 and 2006. Coverage of interventions for the prevention and treatment of malaria has increased. There has been a significant growth in the production and use of insecticide-treated mosquito nets, although global targets are still not being met. By June 2008, all but four countries and territories with a high burden of the disease had adopted artemisinin-based combination therapy as the first-line treatment for falciparum malaria, and use of combination therapies is being scaled up. The MGD target in respect of halting and reversing the incidence of tuberculosis was met globally in 2004. Since then the rate has been falling slowly.1 Tuberculosis prevalence and death rates per 100 000 population declined from 296 in 1990 to 206 in 2007 for the former, and from 28 in 1990 to 25 in 2006 for the latter. Globally, the tuberculosis case-detection rate under the DOTS approach increased from an estimated 11% in 1995 to 63% in 2007. The rate of improvement in case detection slowed after 2004, largely as a result of earlier successes in the countries with the largest number of cases. Data on treatment success rates under the DOTS approach indicate consistent improvement, with rates rising from 79% in 1990 to 85% in 2006. Multidrug-resistant tuberculosis and HIVassociated tuberculosis pose particular challenges in some regions. New estimates indicate that 2.7 million people were newly infected with HIV during 2007 and that there were two million deaths related to AIDS, bringing the total number of people living with HIV to 33 million. The percentage of adults living with HIV globally has remained stable since 2000. Use of antiretroviral therapy has increased; in the course of 2007, about one million more people living with HIV received antiretroviral therapy.2 However, despite this, of the estimated 9.7 million people in developing countries that need treatment, only 3 million were receiving the medicines. Progress has been made in prevention, but at the end of 2007 only 33% of HIV-infected women had received antiretroviral drugs to reduce the risk of mother to child transmission. An estimated 1200 million people are affected by neglected tropical diseases, chronic disabling infections that thrive in conditions of impoverishment and weak health systems. In 2007, 546 million people were treated to prevent transmission of lymphatic filariasis. Only 9585 cases of dracunculiasis (guinea-worm disease) were reported in the five countries in which the disease is endemic, compared with an estimated 3.5 million reported in 20 such countries in 1985. The global prevalence of leprosy at the beginning of 2008 stood at 212 802 reported cases, down from 5.2 million cases in 1985. Lack of safe water and poor sanitation are important risk factors for mortality and morbidity, including diarrhoeal diseases, cholera, worm infestations and hepatitis. Globally, the proportion of the population with access to improved drinking-water sources increased from 76% to 86% between 1990 and 2006. Since 1990, the number of people in developing regions using improved sanitation facilities has increased by 1100 million. Nevertheless, in 2006, there were 54 countries in which information was available where less than half the population used an improved sanitation facility.

1 2

WHO. Global tuberculosis control 2008 report. WHO, UNAIDS, UNICEF. Towards universal access: scaling up priority interventions in the health sector; progress report 2008.

11

Although nearly all developing countries publish an essential medicines list, the availability of medicines at public health facilities is often poor. Surveys in about 30 developing countries indicate that availability of selected medicines at health facilities was only 35% in the public sector and 63% in the private sector. Lack of medicines in the public sector forces patients to purchase medicines privately. In the private sector, however, generic medicines are often sold at several times their international reference price, while originator brands are generally even more expensive. The following charts provide country by country and regional summaries of progress for key MDG indicators for which data are available for most countries. For each indicator, countries are sorted within the relevant WHO region by level of the indicator at latest available year. Countries with no data, or for which a particular indicator is not relevant, are included at the end of each regional list. Depending on the availability of data for each indicator, there are three types of charts.

Chart type I
For three indicators: under-5 mortality rate, access to improved drinking-water sources, and access to improved sanitation facilities, the charts show data for the latest available year, index of trends since 1990 (1990=100) , and the index of overall trend between 1990 and 2015 (1990=100) required for the country to achieve the Millennium Development Goal.

Chart type II
For five indicators: children under five years who are underweight, measles immunization coverage in children under one year, births attended by skilled health personnel, HIV prevalence in adults 1549 years, and tuberculosis treatment success under DOTS, the charts show data for the latest available year and index of trends since 1990 (1990=100).

Chart type III

For 10 indicators: maternal mortality ratio, contraceptive prevalence rate, adolescent fertility rate, antenatal care coverage (at least one visit), unmet need for family planning, proportion of people aged 1524 years with comprehensive correct knowledge of HIV/AIDS (%), antiretroviral therapy coverage among people with advanced HIV infection, mortality rate due to malaria, children aged under five years sleeping under insecticide-treated mosquito nets, and children aged under five years who received any antimalarial treatment for fever, the charts show only data for the latest available year. Further details can be found in the country tables as indicated in each chart.

12

1. Children aged <5 years underweight for age (%)

Swaziland Gabon Sao Tome and Principe Algeria Equatorial Guinea Botswana Congo Ghana Zimbabwe Senegal Cameroon Gambia Uganda Kenya Lesotho Cte d'Ivoire United Republic of Tanzania Guinea-Bissau Namibia Rwanda Malawi Benin Liberia Mozambique Central African Republic Togo Guinea Zambia Comoros Nigeria Angola Mali
Democratic Republic of the Congo

6.1 8.8 10.1 10.2 10.6 10.7 11.8 13.9 14.0 14.5 15.1 15.8 16.4 16.5 16.6 16.7 16.7 17.4 17.5 18.0 18.4 20.2 20.4 21.2 21.8 22.3 22.5 23.3 25.0 27.2 27.5 27.9 28.2 28.3 30.4 33.9 34.5 34.6 35.2 36.8 38.9 39.9

Chile United States of America Brazil Argentina Jamaica Mexico Dominican Republic Trinidad and Tobago Belize Colombia Peru Bolivia Uruguay El Salvador Ecuador Nicaragua Honduras Guyana Guatemala Haiti No Data Antigua and Barbuda Bahamas Barbados Canada Costa Rica Cuba Dominica Grenada Panama Paraguay Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname
Venezuela (Bolivarian Republic of)

0.6 1.3 2.2 2.3 3.1 3.4 4.2 4.4 4.9 5.1 5.2 5.9 6.0 6.1 6.2 7.8 8.6 11.9 17.7 18.9

Belarus Bosnia and Herzegovina Bulgaria Serbia

The former Yugoslav Republic of Macedonia

1.3 1.6 1.6 1.8 1.8 2.1 2.2 2.7 3.2 3.5 3.5 4.1 4.2 4.4 4.9 6.6 14.0 14.9

Jordan Egypt Iraq Morocco Syrian Arab Republic Pakistan Somalia Afghanistan Sudan No Data Bahrain Djibouti Iran (Islamic Republic of) Kuwait Lebanon Libyan Arab Jamahiriya Oman Qatar Saudi Arabia Tunisia United Arab Emirates Yemen

3.6 5.4 7.1 9.9 10.0 31.3 32.8 32.9 38.4

Czech Republic Montenegro Kyrgyzstan Republic of Moldova Romania Turkey Ukraine Armenia Uzbekistan Kazakhstan Albania Azerbaijan Tajikistan No Data Andorra Austria Belgium Croatia Cyprus Denmark Estonia Finland France Georgia Germany Greece Hungary Iceland Ireland Israel Italy Latvia Lithuania Luxembourg Malta Monaco Netherlands Norway Poland Portugal Russian Federation San Marino Slovakia Slovenia Spain Sweden Switzerland Turkmenistan United Kingdom

Singapore Mongolia China Viet Nam Philippines Cambodia Lao People's Democratic Republic No Data Australia Brunei Darussalam Cook Islands Fiji Japan Kiribati Malaysia Marshall Islands Micronesia (Federated States of) Nauru New Zealand Niue Palau Papua New Guinea Republic of Korea Samoa Solomon Islands Tonga Tuvalu Vanuatu

3.3 5.3 6.8 20.2 20.7 28.4 36.4

Sierra Leone Mauritania Chad Eritrea Ethiopia Burkina Faso Madagascar Burundi Niger No Data Cape Verde Mauritius Seychelles South Africa

Thailand Democratic People's Republic of Korea Indonesia Sri Lanka Maldives Myanmar Nepal Bangladesh Timor-Leste India No Data Bhutan

7.0 17.8 19.7 22.8 25.7 29.6 38.8 39.8 40.6 43.5

Key
Country trend 1990 Latest available

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of under-5-year-olds who are underweight in each country. Within each WHO region, countries are sorted by the latest available data since 2000. Regional averages are not available at this time. The bold lines indicate trends since a baseline established in 19901995 (specific year varies by country). Further details can be found in Table 5. 13

2. Under-5 mortality rate (probability of dying by age 5 per 1000 live births)

Seychelles Mauritius Cape Verde Algeria Botswana South Africa Comoros Namibia Eritrea Lesotho Zimbabwe Swaziland Gabon Sao Tome and Principe Togo Gambia Malawi Madagascar Senegal Ghana United Republic of Tanzania Mauritania Ethiopia Kenya Benin Congo Cte d'Ivoire Uganda Regional average Liberia

16 17 32 37 40 59 66 68 70 84 90 91 91 99 100 109 110 112 114 115 116 118 119 121 123 125 127 131 133 148 150 150 158 161 168 170 172 176 180 181 189 191 196 209 262 145 Regional average

Canada Cuba United States of America Chile Antigua and Barbuda Costa Rica Barbados Saint Lucia Bahamas Dominica Uruguay Argentina Saint Vincent and the Grenadines Saint Kitts and Nevis Grenada
Venezuela (Bolivarian Republic of)

6 6 8 9 11 11 12 13 13 14 14 16 17 18 19 19 20 20 21 22 22 23 24 24 25 28 29 31 35 35 38 39 57 60 76 19

San Marino Iceland Sweden Finland Luxembourg Norway Andorra Portugal Italy Slovenia Czech Republic France Greece Spain Austria Germany Ireland Cyprus Belgium Monaco Denmark Netherlands Switzerland Israel Malta United Kingdom Croatia Estonia Hungary Belarus Poland Lithuania Slovakia Serbia Montenegro Latvia Bulgaria Russian Federation Romania Bosnia and Herzegovina Regional average Albania Ukraine
The former Yugoslav Republic of Macedonia

2 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 6 6 6 6 7 7 7 7 8 8 10 10 12 12 14 14 15 16 17 18 23 24 30 32 38 39 41 50 67 15

United Arab Emirates Qatar Bahrain Kuwait Oman Syrian Arab Republic Libyan Arab Jamahiriya Jordan Tunisia Saudi Arabia Lebanon Iran (Islamic Republic of) Morocco Egypt Iraq Regional average Yemen Pakistan Sudan Djibouti Somalia Afghanistan

8 10 10 11 12 17 18 20 21 25 29 33 34 36 45 73 90 109 127 142 257 82

Peru Colombia Mexico Brazil Ecuador Panama El Salvador Honduras Belize Suriname Paraguay Jamaica Nicaragua

Singapore Japan Republic of Korea Australia New Zealand Brunei Darussalam Palau Malaysia Viet Nam Fiji Cook Islands Regional average China Tonga Samoa Philippines Nauru Vanuatu Tuvalu Micronesia (Federated States of) Mongolia Niue Marshall Islands Kiribati Papua New Guinea Lao People's Democratic Republic Solomon Islands Cambodia

3 4 5 6 6 9 10 11 15 18 18 22 23 27 28 30 34 37 40 43 46 54 63 65 70 70 91 22

Cameroon Equatorial Guinea Guinea

Angola

Trinidad and Tobago Dominican Republic Guatemala Bolivia Guyana Haiti

Democratic Republic of the Congo

Mozambique Zambia Central African Republic Niger Burundi Rwanda Nigeria Burkina Faso Mali Guinea-Bissau Chad Sierra Leone

Thailand Sri Lanka Maldives Indonesia Nepal Bangladesh Regional average India Bhutan Timor-Leste Myanmar

7 21 30 31 55 55 61 72 84 97 113 65

198 Democratic People's Republic of Korea

Republic of Moldova Turkey Armenia Georgia Kazakhstan Kyrgyzstan Azerbaijan Uzbekistan Turkmenistan Tajikistan

Key
1990 Country trend MDG target Latest available 2015

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows estimated under-5 mortality for 2007 with countries sorted by level within each WHO region. The bold lines indicate trends since 1990. The thin lines indicate the projected trend needed to achieve the MDG target of a reduction by two thirds between 1990 and 2015. Further details can be found in Table 1. 14

3. Measles immunization coverage among 1-year-olds (%)

Rwanda Seychelles Mauritius Eritrea Ghana Liberia Burkina Faso Algeria Swaziland Botswana United Republic of Tanzania Angola Sao Tome and Principe Gambia Lesotho Zambia Senegal Malawi South Africa Madagascar Kenya Togo
Democratic Republic of the Congo

99 99 98 95 95 95 94 92 91 90 90 88 86 85 85 85 84 83 83 81 80 80 79 77 76 75 74 74 71 69 68 68 67 67 67 67 66 65 65 62 62 61 55 51 47 23 74

Antigua and Barbuda Argentina Brazil Cuba Ecuador Nicaragua Peru Saint Kitts and Nevis Saint Vincent and the Grenadines El Salvador Grenada Bahamas Belize Dominica Dominican Republic Guyana Mexico Uruguay Colombia Canada Saint Lucia Guatemala United States of America Regional average Chile Costa Rica Honduras Panama Suriname Bolivia Paraguay Jamaica Barbados Haiti
Venezuela (Bolivarian Republic of)

99 99 99 99 99 99 99 99 99 98 98 96 96 96 96 96 96 96 95 94 94 93 93 91 91 90 89 89 85 81 80 76 75 58 55 Regional average 93

Belarus Hungary Kazakhstan Kyrgyzstan Monaco Russian Federation Slovakia Turkmenistan Uzbekistan Finland Poland Ukraine Albania Azerbaijan Czech Republic Georgia Israel Latvia Lithuania Romania Spain Bosnia and Herzegovina Bulgaria Croatia Estonia Luxembourg Netherlands Republic of Moldova Slovenia Sweden
The former Yugoslav Republic of Macedonia

99 99 99 99 99 99 99 99 99 98 98 98 97 97 97 97 97 97 97 97 97 96 96 96 96 96 96 96 96 96 96 96 95 95 95 94 94 92 92 92 92 90 89 88 87 87 87 87 86 86 85 79 79 94

Bahrain Kuwait Libyan Arab Jamahiriya Syrian Arab Republic Tunisia Egypt Iran (Islamic Republic of) Oman Saudi Arabia Jordan Morocco Qatar United Arab Emirates Regional average Pakistan Sudan Djibouti Yemen Afghanistan Iraq Lebanon Somalia

99 99 98 98 98 97 97 97 96 95 95 92 92 80 79 74 74 70 69 53 34 84

Mozambique Guinea-Bissau Burundi Cameroon Cape Verde Regional average Guinea Namibia Mali Uganda Congo Cte d'Ivoire Mauritania Sierra Leone Zimbabwe Comoros Ethiopia Central African Republic Nigeria Benin Gabon Equatorial Guinea Niger Chad

Trinidad and Tobago

Nauru Niue Tonga Cook Islands Japan Mongolia Brunei Darussalam Singapore Tuvalu Australia China Marshall Islands Kiribati Micronesia (Federated States of) Philippines Republic of Korea Regional average Palau Malaysia Viet Nam Fiji Cambodia New Zealand Solomon Islands Vanuatu Samoa Papua New Guinea Lao People's Democratic Republic

99 99 99 98 98 98 97 95 95 94 94 94 93 92 92 92 91 90 83 81 79 79 78 65 63 58 40 92

Turkey Iceland Portugal Serbia Andorra Germany Armenia Belgium

Democratic People's Republic of Korea Sri Lanka Maldives Thailand Bhutan Bangladesh Myanmar Nepal Regional average Indonesia India

99 98 97 96 95 88 81 81 80 67 63 73

Norway San Marino Montenegro Denmark Greece Cyprus France Ireland Italy Switzerland United Kingdom Tajikistan Austria Malta

Key
Country trend 1990 Latest available

Timor-Leste

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of under-1-year-olds fully immunized against measles with countries sorted by 2007 level within each WHO region. The bold lines indicate trends since 1990. Further details can be found in Table 4. 15

4. Maternal mortality ratio (per 100 000 live births)

Mauritius Algeria Cape Verde Namibia Botswana Swaziland Comoros South Africa Eritrea Madagascar Togo Gabon Mozambique Uganda Ghana Kenya Equatorial Guinea Gambia Burkina Faso Ethiopia Congo Cte d'Ivoire Mauritania Zambia Benin Regional average Zimbabwe Guinea United Republic of Tanzania Lesotho Mali Central African Republic Senegal

15 180 210 210 380 390 400 400 450 510 510 520 520 550 560 560 680 690 700 720 740 810 820 830 840 880 910 950 960 970 980 980 900 Regional average

Canada United States of America Bahamas Barbados Chile Uruguay Costa Rica Cuba Trinidad and Tobago Belize
Venezuela (Bolivarian Republic of)

7 11 16 16 16 20 30 45 45 52 57 60 72 77 99

Ireland Bosnia and Herzegovina Denmark Greece Italy Sweden Austria Czech Republic Germany Iceland Israel Spain Switzerland Hungary Netherlands Slovakia Slovenia Croatia Finland Norway Belgium France Malta Poland United Kingdom

1 3 3 3 3 3 4 4 4 4 4 4 5 6 6 6 6 7 7 7 8 8 8 8 8 Regional average

Kuwait Qatar Saudi Arabia Bahrain United Arab Emirates Jordan Oman Libyan Arab Jamahiriya Tunisia Egypt Syrian Arab Republic Iran (Islamic Republic of) Lebanon Morocco Iraq Pakistan Yemen Sudan Djibouti

4 12 18 32 37 62 64 97 100 130 130 140 150 240 300 320 430 450 650 420

Mexico Suriname Argentina

Brazil 110 Colombia 130 Panama 130 Dominican Republic 150 Paraguay 150 El Salvador 170 Jamaica 170 Nicaragua 170 Ecuador 210 Peru 240 Honduras 280 Bolivia 290 Guatemala 290 Guyana 470 Haiti 670 No Data Antigua and Barbuda Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines

Somalia 1 400 Afghanistan 1 800

Cyprus 10 Latvia 10
The former Yugoslav Republic of Macedonia

Australia Japan New Zealand Brunei Darussalam Republic of Korea Singapore China Mongolia Regional average Malaysia

4 6 9 13 14 14 45 46 62 82

10

Bulgaria 11 Lithuania 11 Portugal 11 Luxembourg 12 Belarus 18 Ukraine 18 Republic of Moldova 22 Romania 24 Uzbekistan 24 Regional average Estonia 25 27

Cameroon 1 000 Burundi 1 100

Democratic Republic of the Congo 1 100

Viet Nam 150 Fiji 210 Solomon Islands 220 Philippines 230 Papua New Guinea 470 Cambodia 540 Lao People's Democratic Republic 660 No Data Cook Islands Kiribati Marshall Islands Micronesia (Federated States of) Nauru Niue Palau Samoa Tonga Tuvalu Vanuatu

Guinea-Bissau 1 100 Malawi 1 100 Nigeria 1 100 Liberia 1 200 Rwanda 1 300 Angola 1 400 Chad 1 500 Niger 1 800 Sierra Leone 2 100 No Data Sao Tome and Principe Seychelles

Russian Federation 28 Turkey 44 Sri Lanka 58 Georgia 66 Armenia 76 Azerbaijan 82 Albania 92 Turkmenistan 130 Kazakhstan 140 Kyrgyzstan 150 450 Tajikistan 170 No Data Andorra Monaco Montenegro San Marino Serbia Thailand 110 Maldives 120 Democratic People's Republic of Korea 370 Myanmar 380 Timor-Leste 380 Indonesia 420 Regional average Bhutan 440 India 450 Bangladesh 570 Nepal 830

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the estimated maternal mortality for each country for 2005 with countries sorted by level within each WHO region. Further details can be found in Table 2. 16

5. Births attended by skilled health personnel (%)

Mauritius Botswana Algeria South Africa Congo Gabon Namibia Sao Tome and Principe Cape Verde Benin
Swaziland Democratic Republic of the Congo

99 94 95 91 86 86 81 81 78 78 74 74 69 63 63 62 62 61 57 57 55 54 54 54 52 52 51 50 49 48 47 47 46 46 42 42 42 39 38 35 34 28 18 14 6 46

Antigua and Barbuda Barbados Canada Saint Kitts and Nevis Saint Vincent and the Grenadines Cuba Chile Argentina United States of America Bahamas Grenada Uruguay Ecuador Trinidad and Tobago Saint Lucia Dominican Republic Brazil Jamaica Colombia Belize
Venezuela (Bolivarian Republic of)

100 100 100 100 100 100 100 99 99 99 99 99 99 98 98 98 97 97 96 96 95 94 94 94 91 90 84 83 77 74 73 67 66 41 26 Regional average 92

Albania Belarus Cyprus Germany Ireland Latvia Lithuania Luxembourg Malta Netherlands Switzerland Turkmenistan Croatia Czech Republic Finland Kazakhstan Poland Portugal Slovenia Uzbekistan Estonia Hungary Bosnia and Herzegovina Republic of Moldova Russian Federation Slovakia Bulgaria Italy Serbia Romania Montenegro Ukraine
The former Yugoslav Republic of Macedonia

100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 99 99 99 99 99 99 98 98 98 98 89 83 83 96 Regional average

Kuwait Libyan Arab Jamahiriya Qatar United Arab Emirates Jordan Bahrain Lebanon
Oman

100 100 100 100 99 99 98 98 97 96 93 93 90 89 79 63 49 39 36 33 14 59

Iran (Islamic Republic of) Saudi Arabia Syrian Arab Republic

Djibouti

Zimbabwe Equatorial Guinea Cameroon Togo Comoros Mauritania Cte d'Ivoire Gambia Lesotho Burkina Faso Malawi Central African Republic Rwanda Senegal Madagascar Ghana Mali Mozambique Angola Zambia Liberia United Republic of Tanzania Regional average Sierra Leone
Uganda

Tunisia Iraq Egypt Morocco Sudan Pakistan Yemen Somalia Afghanistan

Costa Rica Dominica Regional average Mexico Panama Suriname El Salvador Guyana Paraguay Nicaragua Peru Honduras Bolivia Guatemala Haiti

Cook Islands Malaysia Niue Palau Republic of Korea Samoa Tuvalu Japan Brunei Darussalam Singapore Australia Mongolia Tonga Fiji China Nauru Marshall Islands New Zealand Regional average Vanuatu Kiribati Micronesia (Federated States of) Viet Nam Philippines Cambodia Solomon Islands Papua New Guinea Lao People's Democratic Republic

100 100 100 100 100 100 100 100 100 100 99 99 99 99 98 97 95 94 93 90 88 88 60 44 43 39 20 92

Armenia Kyrgyzstan Georgia Azerbaijan Tajikistan Turkey

Kenya Guinea-Bissau Guinea Nigeria Burundi Eritrea Niger Chad Ethiopia No data Seychelles

Sri Lanka Thailand Democratic People's Republic of Korea

Maldives

99 97 97 84 73 57 51 47 19 19 18 48

No data Andorra Austria Belgium Denmark France Greece Iceland Israel Monaco Norway San Marino Spain Sweden United Kingdom

Indonesia Myanmar Regional average Bhutan India Timor-Leste Nepal Bangladesh

Key
Country trend 1990 Latest available

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of births attended by skilled health personnel. Within each WHO region, countries are sorted by the latest available data since 2000. The bold lines indicate trends with baselines established between 19901999. Further details can be found in Table 4. 17

6. Contraceptive prevalence (%)

Mauritius 75.9 Algeria 61.4 South Africa 60.3 Zimbabwe 60.2 Swaziland 46.0 Botswana 44.4 Congo 44.3 Namibia 43.7 Malawi 41.7 Kenya 39.3 Lesotho 37.3 Zambia 34.2 Gabon 32.7
Democratic Republic of the Congo 31.4

Colombia 78.2 Uruguay 77.0 Cuba 73.3 Paraguay 72.8 United States of America 72.8 Ecuador 72.7 Peru 71.3 Regional average Mexico 70.9 70.0

United Kingdom 82.0 France 81.8 Albania 75.1 Turkey 71.0 Romania 70.0 Republic of Moldova 67.8 Portugal 67.1 Uzbekistan 64.9 Turkmenistan 61.8 Azerbaijan 55.4 Armenia 53.1 Bosnia and Herzegovina 47.5 Georgia 47.3 Serbia 41.2 Tajikistan 37.9
The former Yugoslav Republic of Macedonia

Iran (Islamic Republic of) 73.8 Morocco 63.0 Tunisia 62.6 Egypt 59.2 Syrian Arab Republic 58.3 Jordan 55.8 Regional average Iraq 49.8 Pakistan 27.6 Yemen 23.1 Djibouti 17.8 Afghanistan 10.3 Sudan No Data Bahrain Kuwait Lebanon Libyan Arab Jamahiriya Oman Qatar Saudi Arabia Somalia United Arab Emirates 7.6 43.0

Dominican Republic 69.8 Jamaica 69.0 Nicaragua 68.6 El Salvador 67.3 Argentina 65.3 Honduras 65.2 Chile 60.7 Bolivia 58.4 Guatemala 43.3 Suriname 42.1 Trinidad and Tobago 38.2 Guyana 34.6 Haiti 32.0 24.4 No Data Antigua and Barbuda Bahamas Barbados Belize Brazil Canada Costa Rica Dominica Grenada Panama Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines
Venezuela (Bolivarian Republic of)

Sao Tome and Principe 29.3 Central African Republic 27.9 Madagascar 27.1 United Republic of Tanzania 26.4 Cameroon 26.0 Comoros 25.7 Togo 25.7 Regional average Ghana 25.2 Uganda 23.7 Burundi 19.7 Benin 18.6 Rwanda 17.4 Mozambique 16.5 Ethiopia 14.7 Burkina Faso 13.8 Nigeria 12.6 Senegal 11.8 Niger 11.2 Gambia Guinea Mali Eritrea Mauritania Guinea-Bissau Angola Sierra Leone Chad No Data Cape Verde Cte d'Ivoire Equatorial Guinea Liberia Seychelles Regional average 9.6 9.1 8.1 8.0 8.0 7.6 6.2 5.3 2.8

13.5

No Data Andorra Austria Belarus Belgium Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan Kyrgyzstan Latvia Lithuania Luxembourg Malta Monaco Montenegro Netherlands 57.2 Norway Poland Russian Federation San Marino Slovakia Slovenia Spain Sweden Switzerland Ukraine

Regional average

China 90.2 Viet Nam 78.5 Mongolia 69.0 Japan 52.0 Philippines 48.9 Cambodia 40.0

85.5

Lao People's Democratic Republic 32.2 No Data Australia Brunei Darussalam Cook Islands Fiji Kiribati Malaysia Marshall Islands Micronesia (Federated States of) Nauru New Zealand Niue Palau Papua New Guinea Republic of Korea Samoa Singapore Solomon Islands Tonga Tuvalu Vanuatu

Thailand 71.5 Sri Lanka 70.0 Democratic People's Republic of Korea 68.6 Indonesia 60.3 Bangladesh 58.1 India 56.3 Nepal 48.0 Maldives 39.0 Myanmar 37.0 Bhutan 30.7 Timor-Leste 10.0

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of women married or cohabiting who report current use of at least one method of contraception. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Table 4. 18

7. Adolescent fertility rate (per 1000 girls aged 1519 years)

Algeria Burundi Mauritius Rwanda Botswana Namibia Seychelles South Africa Ghana Eritrea Mauritania Sao Tome and Principe Cape Verde Comoros Lesotho Sierra Leone Senegal Zimbabwe Gambia Ethiopia Cte d'Ivoire Swaziland Benin Regional average Kenya

4 30 35 40 51 51 54 54 74 85 88 91 92 95 98 98 100 101 104 109 111 111 114 116 124 126 128 131 132 133 137 139 141 146 153 154 159 165 170 178 185 190 193 199 117 Regional average

Canada Trinidad and Tobago United States of America Cuba Bahamas Dominica Chile Saint Lucia Barbados Grenada Brazil Saint Vincent and the Grenadines Jamaica Peru Argentina Costa Rica Suriname Uruguay Paraguay Antigua and Barbuda El Salvador Haiti Saint Kitts and Nevis Mexico Panama Bolivia Belize Guyana
Venezuela (Bolivarian Republic of)

14 35 41 42 43 48 49 49 51 53 56 57 58 59 62 63 63 63 65 67 67 69 74 82 85 88 90 90 91 92 96 98 61

San Marino Netherlands Switzerland Slovenia Cyprus Denmark Sweden Italy France Finland Norway

1 4 4 5 6 6 6 7 8 9 9

Libyan Arab Jamahiriya Tunisia Saudi Arabia Oman Kuwait Bahrain Qatar Lebanon Morocco Pakistan United Arab Emirates Iran (Islamic Republic of) Djibouti Egypt Regional average Jordan Iraq Syrian Arab Republic Yemen Somalia Afghanistan No Data Sudan

4 6 7 11 14 15 16 18 18 20 23 25 27 27 28 68 75 80 123 151 35

Andorra 10 Belgium 10 Germany 10 Luxembourg 10 Czech Republic 11 Greece 11 Austria 12 Spain 12 Albania 13 Croatia 13 Poland 13 Iceland 14 Israel 15 Bosnia and Herzegovina 16 Montenegro 16 Ireland 17 Latvia 17 Malta 17 Portugal 17 Lithuania 19
The former Yugoslav Republic of Macedonia

Democratic Republic of the Congo

Nigeria Equatorial Guinea Burkina Faso Congo Central African Republic Liberia United Republic of Tanzania Cameroon Zambia Guinea Madagascar Uganda Angola Guinea-Bissau Malawi Mozambique Mali Chad Niger No Data Gabon Togo

Republic of Korea China Japan Regional average Singapore Malaysia Australia Tonga Mongolia Tuvalu Brunei Darussalam Niue 24 New Zealand Samoa Fiji Palau Viet Nam Kiribati Cook Islands Micronesia (Federated States of) Cambodia Philippines Nauru Papua New Guinea Marshall Islands No Data

2 5 5 6 13 15 16 19 22 26 28 29 29 30 31 35 39 47 51 52 55 69 70 88 11

Guatemala Colombia Dominican Republic

19

Ecuador 100 Honduras 108 Nicaragua 109

Belarus 20 Estonia 20 Hungary 20 Turkmenistan 20 Slovakia 21 Regional average Serbia 24 Armenia 25 Republic of Moldova 25

Maldives Sri Lanka India Bhutan Thailand Regional average Indonesia Timor-Leste

8 28 45 46 46 54 59 56

United Kingdom 26 Uzbekistan 26 Kazakhstan 27 Tajikistan 27 Kyrgyzstan 28 Russian Federation 28 Ukraine 30 Romania 35 Georgia 37 Bulgaria 38 Azerbaijan 44 Turkey 51 No Data Monaco

Nepal 106 Bangladesh 127 No Data Democratic People's Republic of Korea Myanmar

Lao People's Democratic Republic 110 Solomon Islands Vanuatu

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows estimated adolescent fertility, also known as the birth rate: births in 1519-year-old girls per 1000 girls in this age group per year. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Table 9. 19

8. Antenatal care coverage (%) : at least 1 visit

Cape Verde Gambia Botswana Sao Tome and Principe Rwanda Namibia Gabon Uganda Zambia Zimbabwe Burundi Ghana Malawi South Africa Lesotho Algeria Kenya Senegal Sierra Leone Congo Equatorial Guinea Burkina Faso Cte d'Ivoire
Democratic Republic of the Congo

98 98 97 97 96 95 94 94 94 94 92 92 92 92 90 89 88 87 87 86 86 85 85 85 85 85 84 84 82 82 80 80 79 78 78 75 75 70 70 69 58 46 39 28 73

Antigua and Barbuda 100 Barbados 100 Cuba 100 Dominica 100 Grenada 100 Saint Kitts and Nevis 100 Argentina Dominican Republic Saint Lucia Bahamas Brazil Uruguay Trinidad and Tobago Saint Vincent and the Grenadines Belize Colombia Paraguay
Venezuela (Bolivarian Republic of) Regional average Costa Rica

Kazakhstan 100 Belarus 99 Bosnia and Herzegovina 99 Turkmenistan 99 Ukraine 99 Uzbekistan 99 Republic of Moldova 98 Serbia 98 Albania 97 Kyrgyzstan 97 Montenegro 97 Georgia 94 Romania 94
The former Yugoslav Republic of Macedonia

Oman Jordan Lebanon Djibouti Tunisia Iraq Syrian Arab Republic Egypt Morocco Sudan Regional average Pakistan Yemen Somalia Afghanistan No Data Bahrain Iran (Islamic Republic of) Kuwait Libyan Arab Jamahiriya Qatar Saudi Arabia United Arab Emirates

100 99 96 92 92 84 84 74 68 64 61 47 26 16 61

99 99 99 98 97 97 96 95 94 94 94 94 92 92 91 91 90 90 86 85 84 84 81 77 94

94

Armenia 93 Turkey 81 Azerbaijan 77 Tajikistan 77 No Data Andorra Austria Belgium Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Israel Italy Latvia Lithuania Luxembourg Malta Monaco Netherlands Norway Poland Portugal 74 Russian Federation San Marino Slovakia Slovenia Spain Sweden Switzerland United Kingdom Regional average

Honduras Jamaica Peru Nicaragua Suriname El Salvador Haiti Ecuador Guatemala Guyana Bolivia No Data Canada Chile Mexico Panama United States of America

Mozambique Swaziland Benin Togo Cameroon Guinea Angola Madagascar Liberia Guinea-Bissau United Republic of Tanzania Mauritania Regional average Comoros Eritrea Mali Central African Republic Nigeria Niger Chad Ethiopia No Data Mauritius Seychelles

Mongolia Viet Nam China Philippines Malaysia Cambodia Lao People's Democratic Republic No Data

99 91 90 88 79 69 35 89

Australia Brunei Darussalam Cook Islands Fiji Japan Kiribati Marshall Islands Micronesia (Federated States of) Nauru New Zealand Niue Palau Papua New Guinea Republic of Korea Samoa Singapore Solomon Islands Tonga Tuvalu Vanuatu

Maldives 100 Sri Lanka Thailand Indonesia Bhutan Myanmar Regional average India Timor-Leste Bangladesh Nepal No Data Democratic People's Republic of Korea 99 98 93 88 76 74 61 51 44

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of women who received antenatal care from skilled health personnel at least once during pregnancy. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Table 4. 20

9. Unmet need for family planning (%)

Uganda 40.6 Rwanda 37.9 Ghana 34.0 Ethiopia 33.8 Mauritania 31.6 Senegal 31.6 Lesotho 30.9 Burundi 29.4 Burkina Faso 28.8 Mali 28.5 Gabon 28.0 Malawi 27.6 Zambia 27.4 Benin 27.2 Eritrea 27.0 Namibia 25.1 Algeria 24.6 Regional average Kenya 24.5 24.4

Haiti 37.5 Bolivia 22.7 Honduras 16.9 Nicaragua 14.6 Dominican Republic 10.9 El Salvador Peru Paraguay Colombia Ecuador No Data Antigua and Barbuda Argentina Bahamas Barbados Belize Brazil Canada Chile Costa Rica Cuba Dominica Grenada Guatemala Guyana Jamaica Mexico Panama Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname Trinidad and Tobago United States of America Uruguay
Venezuela (Bolivarian Republic of)

Georgia 16.4 Armenia 13.3 Romania 11.9 Azerbaijan 11.5 Turkmenistan 10.1 Republic of Moldova 6.7 Turkey 6.0 France 3.2 Albania 1.2 No Data Andorra Austria Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan Kyrgyzstan Latvia Lithuania Luxembourg Malta Monaco Montenegro Netherlands Norway Poland Portugal Russian Federation San Marino 12.4 Serbia Slovakia Slovenia Spain Sweden Switzerland Tajikistan
The former Yugoslav Republic of Macedonia

Yemen 50.9 Syrian Arab Republic 30.6 Djibouti 26.3 Tunisia 12.1 Jordan 11.0 Egypt 10.3 Morocco 10.0 No Data Afghanistan Bahrain Iran (Islamic Republic of) Iraq Kuwait Lebanon Libyan Arab Jamahiriya Oman Pakistan Qatar Saudi Arabia Somalia Sudan United Arab Emirates

8.9 8.1 6.6 5.8 5.0

Madagascar 23.6 Chad 23.3 United Republic of Tanzania 21.8 Guinea 21.2 Cameroon 20.2 Mozambique 18.4 Nigeria 16.9 Congo 16.2 Niger 15.8 Zimbabwe 12.8 Mauritius No Data Angola Botswana Cape Verde Central African Republic Comoros Cte d'Ivoire
Democratic Republic of the Congo

Lao People's Democratic Republic 39.5 Cambodia 25.1 Philippines 17.3 Viet Nam 4.8 Mongolia 4.6 No Data Australia Brunei Darussalam China Cook Islands Fiji Japan Kiribati Malaysia Marshall Islands Micronesia (Federated States of) Nauru New Zealand Niue Palau Papua New Guinea Republic of Korea Samoa Singapore Solomon Islands Tonga Tuvalu Vanuatu

3.3

Equatorial Guinea Gambia Guinea-Bissau Liberia Sao Tome and Principe Seychelles Sierra Leone South Africa Swaziland Togo

Maldives 37.0 Nepal 24.6 Myanmar 19.1 Regional average India 12.8 Bangladesh 11.3 Indonesia 8.6 Sri Lanka 8.0 Timor-Leste 3.8 No Data Bhutan Democratic People's Republic of Korea Thailand

Ukraine United Kingdom Uzbekistan

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of women who are fertile and sexually active but report that they are not using any method of contraception. Within each WHO region, countries are sorted by the latest available data since 2000 . Further details can be found in Table 4. 21

10. Prevalence of HIV among adults aged 15 years per 100 000 population

Comoros Algeria Madagascar Gambia Mauritania Niger Senegal Benin Eritrea Mauritius Mali Burkina Faso Guinea Sierra Leone Liberia Guinea-Bissau Ghana Burundi Ethiopia Angola Rwanda Nigeria Chad Togo Congo Equatorial Guinea Cte d'Ivoire Regional average Cameroon Uganda Gabon Central African Republic United Republic of Tanzania Malawi Mozambique Namibia Zimbabwe Zambia South Africa Lesotho Botswana Swaziland No Data Cape Verde
Democratic Republic of the Congo

<41 87 116 741 744 757 886 1 161 1 264 1 348 1 437 1 498 1 520 1 523 1 615 1 692 1 722 1 903 1 907 1 962 2 342 2 886 3 102 3 184 3 330 3 343 3 697 4 735 4 580 5 155 5 308 5 582 5 771 11 367 11 761 13 885 14 609 15 087 16 293 21 548 22 757 24 301 Regional average

Cuba Bolivia Nicaragua Chile Mexico Canada Ecuador Costa Rica Peru Uruguay Argentina

67 132 211 244 267 268 275 295 382 391 409 452 490 501 510 598 691 743 810 902 914 1 240 1 386 1 823 1 863 2 066 2 360 2 508 448

Slovakia Turkmenistan Czech Republic Slovenia

The former Yugoslav Republic of Macedonia

<11 <14 17 <29 <30 39 55 59 59 73 75 77 77 79 79 82 85 98 99 102 108 113 115 120 134 138 154 158 161 172 <212 239 278 286 296 370 379 398 509 774 871 1 082 336 Regional average Regional average

Egypt Tunisia Pakistan Morocco Lebanon Iran (Islamic Republic of) Somalia Sudan Djibouti No Data Afghanistan Bahrain Iraq Jordan Kuwait Libyan Arab Jamahiriya Oman Qatar Saudi Arabia Syrian Arab Republic United Arab Emirates Yemen

18 46 89 95 101 163 202 495 1 253 2 870

Hungary Finland Malta Poland Germany Georgia Lithuania Romania Norway Serbia Sweden Uzbekistan Israel Armenia Kazakhstan Denmark Kyrgyzstan Greece Azerbaijan Netherlands Austria United Kingdom Belarus Ireland Belgium Iceland Tajikistan France Republic of Moldova Regional average Italy Spain Portugal Switzerland Latvia

United States of America Colombia Paraguay Brazil Honduras Guatemala El Salvador Panama Dominican Republic Barbados Trinidad and Tobago Jamaica Haiti Belize Suriname Guyana Bahamas No Data Antigua and Barbuda Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines
Venezuela (Bolivarian Republic of)

Japan Philippines Republic of Korea New Zealand Mongolia China Australia Singapore Lao People's Democratic Republic Malaysia Viet Nam Cambodia Papua New Guinea No Data Brunei Darussalam Cook Islands Fiji Kiribati Marshall Islands Micronesia (Federated States of) Nauru Niue Palau Samoa Solomon Islands Tonga Tuvalu Vanuatu

9 14 33 42 <52 65 89 107 113 149 428 446 755 1 395

Bangladesh Sri Lanka Bhutan Indonesia Regional average India Nepal Myanmar Thailand No Data Democratic People's Republic of Korea

11 25 <109 161 290 295 389 667 1 191

Russian Federation Estonia Ukraine No Data Albania Andorra Bosnia and Herzegovina Bulgaria Croatia Cyprus Luxembourg Monaco Montenegro San Marino Turkey

Kenya Sao Tome and Principe Seychelles

Key
Country trend 1990 Latest available

Maldives Timor-Leste

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the estimated prevalence of HIV infection in adults aged 1549 years with countries sorted by 2007 level within each WHO region. Limited data availability for the MDG target age group 1524 has obliged us to report prevalence in the 15+ age group. The bold lines indicate trends since 2001. Further details can be found in Table 2. 22

11. Proportion of males aged 1524 years with comprehensive correct knowledge of HIV/AIDS (%)

Namibia Rwanda Swaziland Kenya Zimbabwe United Republic of Tanzania Uganda Zambia Cape Verde Malawi Benin Congo Cameroon Ethiopia Ghana Regional average Mozambique Cte d'Ivoire Central African Republic Senegal Burkina Faso Guinea Mali
Democratic Republic of the Congo

62 54 52 47 46 40 38 37 36 36 35 35 34 33 33 33 28 27 26 23 23 22 21 21 19 19 16 16 30

Guyana Haiti Dominican Republic Bolivia No Data Antigua and Barbuda Argentina Bahamas Barbados Belize Brazil Canada Chile Colombia Costa Rica Cuba Dominica Ecuador El Salvador Grenada Guatemala Honduras Jamaica Mexico Nicaragua Panama Paraguay Peru Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname Trinidad and Tobago United States of America Uruguay
Venezuela (Bolivarian Republic of)

47 40 34 18

Ukraine 43 Armenia 15 Azerbaijan No Data Albania Andorra Austria Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Georgia Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan Kyrgyzstan Latvia Lithuania Luxembourg Malta Monaco Montenegro Netherlands Norway Poland Portugal Republic of Moldova Romania Russian Federation San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Tajikistan
The former Yugoslav Republic of Macedonia

No Data Afghanistan Bahrain Djibouti Egypt Iran (Islamic Republic of) Iraq Jordan Kuwait Lebanon Libyan Arab Jamahiriya Morocco Oman Pakistan Qatar Saudi Arabia Somalia Sudan Syrian Arab Republic Tunisia United Arab Emirates Yemen

Nigeria Chad Lesotho Madagascar Niger No Data Algeria Angola Botswana Burundi Comoros Equatorial Guinea Eritrea Gabon Gambia Guinea-Bissau Liberia Mauritania Mauritius Sao Tome and Principe Seychelles Sierra Leone South Africa Togo

Viet Nam Cambodia Marshall Islands Philippines No Data

50 45 39 18

Australia Brunei Darussalam China Cook Islands Fiji Japan Kiribati Lao People's Democratic Republic Malaysia Micronesia (Federated States of) Mongolia Nauru New Zealand Niue Palau Papua New Guinea Republic of Korea Samoa Singapore Solomon Islands Tonga Tuvalu Vanuatu

Nepal India No Data

44 36

Bangladesh Bhutan Democratic People's Republic of Korea Indonesia Maldives Myanmar Sri Lanka Thailand Timor-Leste

Turkey Turkmenistan United Kingdom Uzbekistan

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of men who correctly identify the two major ways of preventing the sexual transmission of HIV, who reject the two most common local misconceptions about HIV transmission and who know that a healthy-looking person can transmit HIV. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Table 5. 23

12. Proportion of females aged 1524 years with comprehensive correct knowledge of HIV/AIDS (%)

Namibia Swaziland Rwanda United Republic of Tanzania Sao Tome and Principe Zimbabwe Gambia Eritrea Cape Verde Kenya Zambia Uganda Burundi
Togo

65 52 51 45 44 44 39 37 36 34 34 32 30 28 27 27 26 25 24 21 20 20 19 18 18 18 18 18 17 17 17 16 15 15 13 13 7 4 Regional average 23

Jamaica Guyana Dominican Republic Suriname Haiti Cuba Honduras Trinidad and Tobago Nicaragua Peru
Bolivia

60 53 41 41 34 30 30 28 22 19 15

Bosnia and Herzegovina 48 Serbia 42 Ukraine 42 Belarus 34 Uzbekistan 31 Montenegro 30

The former Yugoslav Republic of Macedonia

Djibouti Morocco Syrian Arab Republic Somalia Iraq No Data Afghanistan Bahrain
Egypt

18 12 7 4 3

27

Armenia 23 Kazakhstan 22 Kyrgyzstan 20 Albania Azerbaijan Tajikistan No Data Andorra Austria

Belgium

Iran (Islamic Republic of) Jordan Kuwait

Lebanon

6 6 3

No Data Antigua and Barbuda Argentina Bahamas Barbados Belize Brazil Canada Chile Colombia Costa Rica Dominica Ecuador El Salvador Grenada Guatemala Mexico Panama Paraguay Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines United States of America Uruguay
Venezuela (Bolivarian Republic of)

Libyan Arab Jamahiriya Oman Pakistan Qatar Saudi Arabia Sudan Tunisia United Arab Emirates Yemen

Cameroon Lesotho Congo Ghana Regional average Malawi Senegal Ethiopia Mozambique Madagascar Comoros Cte d'Ivoire Guinea-Bissau Mali Nigeria Central African Republic Guinea Sierra Leone Benin Burkina Faso
Democratic Republic of the Congo

Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Georgia Germany Greece
Hungary

Cambodia Viet Nam Mongolia Marshall Islands Philippines No Data

50 42 35 27 12

Iceland Ireland Israel Italy Latvia Lithuania Luxembourg Malta Monaco Netherlands Norway Poland 21 Portugal Republic of Moldova Romania Russian Federation San Marino Slovakia Slovenia Spain Sweden Switzerland Turkey Turkmenistan United Kingdom

Australia Brunei Darussalam China Cook Islands Fiji Japan Kiribati Lao People's Democratic Republic Malaysia Micronesia (Federated States of) Nauru New Zealand Niue Palau Papua New Guinea Republic of Korea Samoa Singapore Solomon Islands Tonga Tuvalu Vanuatu

Algeria

Niger Chad Equatorial Guinea No Data Angola Botswana Gabon Liberia Mauritania Mauritius Seychelles South Africa

Thailand Nepal
India

46 28 20 16

Bangladesh No Data

Bhutan Democratic People's Republic of Korea Indonesia Maldives Myanmar Sri Lanka Timor-Leste

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of women who correctly identify the two major ways of preventing the sexual transmission of HIV, who reject the two most common local misconceptions about HIV transmission and who know that a healthy-looking person can transmit HIV. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Table 5. 24

13. Antiretroviral therapy coverage among people with advanced HIV infection (%)

Namibia Botswana Rwanda Senegal Benin Zambia Gabon Swaziland Mali Kenya Burkina Faso Malawi Uganda Equatorial Guinea United Republic of Tanzania Regional average Ethiopia Cte d'Ivoire South Africa Guinea Lesotho Nigeria Angola Cameroon
Democratic Republic of the Congo

88 79 71 56 49 46 42 42 41 38 35 35 33 31 31 29 28 28 27 26 26 25 25 24 24 23 23 22 21 20 20 20 19 18 17 17 17 15 13 13 10 4 Regional average 30

Costa Rica >95 Cuba >95 Chile Brazil Argentina Regional average Mexico Panama Uruguay El Salvador Belize Peru Honduras Guyana Suriname Jamaica Ecuador Haiti Colombia Dominican Republic Guatemala Nicaragua Bolivia Paraguay No Data Antigua and Barbuda Bahamas Barbados Canada Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States of America
Venezuela (Bolivarian Republic of)

Romania 73 Republic of Moldova 58 Poland 36 Uzbekistan 24 62 Kazakhstan 23 Hungary 22 Belarus 20 Lithuania 18 Regional average Serbia 17 17 Regional average

Morocco Tunisia Lebanon Djibouti Egypt Iran (Islamic Republic of) Pakistan Sudan No Data Afghanistan Bahrain Iraq Jordan Kuwait Libyan Arab Jamahiriya Oman Qatar Saudi Arabia Somalia Syrian Arab Republic United Arab Emirates Yemen

31 29 26 16 9 5 3 1 5

82 80 73 57 56 56 51 49 48 47 45 45 43 42 41 38 38 37 30 22 22

Russian Federation 16 Latvia 15 Azerbaijan 14 Kyrgyzstan 14 Armenia 12 Ukraine Tajikistan No Data Albania Andorra Austria Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Georgia Germany Greece Iceland Ireland Israel Italy Luxembourg Malta Monaco Regional average 8 6

Mozambique Burundi Mauritania Mauritius Central African Republic Algeria Guinea-Bissau Sierra Leone Togo Gambia Congo Liberia Zimbabwe Ghana Chad Eritrea Niger Madagascar No Data Cape Verde Comoros Sao Tome and Principe Seychelles

Lao People's Democratic Republic >95 Cambodia Papua New Guinea Malaysia Philippines Viet Nam China No Data Australia Brunei Darussalam Cook Islands Fiji Japan Kiribati Marshall Islands Micronesia (Federated States of) Mongolia Nauru New Zealand Niue Palau Republic of Korea Samoa Singapore Solomon Islands Tonga Tuvalu Vanuatu 67 38 35 31 26 19 28

Thailand Indonesia Myanmar Sri Lanka Bangladesh Nepal

61 15 15 14 7 7 0

25

Montenegro Netherlands Norway Portugal San Marino Slovakia Slovenia Spain Sweden Switzerland

Democratic People's Republic of Korea No Data

Bhutan India Maldives Timor-Leste

The former Yugoslav Republic of Macedonia

Turkey Turkmenistan United Kingdom

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of people with advanced HIV infection currently receiving antiretroviral therapy according to standards of the Joint United Nations Programme on HIV/AIDS for each country for 2007 with countries sorted by level within each WHO region. Further details can be found in Table 4. 25

14. Malaria mortality rate per 100 000 population

Algeria Cape Verde South Africa Swaziland Botswana Eritrea Zimbabwe Madagascar Sao Tome and Principe Comoros Namibia Ethiopia Rwanda Kenya Senegal Mauritania Mozambique Burundi Malawi Gabon United Republic of Tanzania Central African Republic Cte d'Ivoire Regional average Gambia Ghana Togo Cameroon Zambia Congo Angola Uganda Benin Sierra Leone Nigeria
Democratic Republic of the Congo

0 <1 <1 <1 2 2 10 12 19 36 47 51 59 74 80 85 92 94 95 96 98 100 103 106 109 113 116 121 124 128 145 146 154 156 158 164 171 173 178 180 201 220 229 Regional average 104

Argentina El Salvador Mexico Paraguay Costa Rica Belize Bolivia Brazil Colombia Dominican Republic Ecuador Guatemala Honduras Nicaragua Panama Peru
Venezuela (Bolivarian Republic of)

0 <1 <1 <1 <1 <1 <1 <1 <1 <1 <1 <1 <1 <1 <1 <1 <1 5 8 10 <1

Armenia Azerbaijan Turkmenistan Georgia Kyrgyzstan Turkey Uzbekistan Tajikistan No Data Albania Andorra Austria Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan Latvia Lithuania Luxembourg Malta Monaco Montenegro Netherlands Norway Poland Portugal Republic of Moldova Romania Russian Federation San Marino 2 Serbia Slovakia Slovenia Spain Sweden Switzerland
The former Yugoslav Republic of Macedonia

0 0 0 <1 <1 <1 <1 <1 Regional average

Egypt Iraq Morocco Oman Saudi Arabia Syrian Arab Republic Iran (Islamic Republic of) Afghanistan Pakistan Regional average Yemen Djibouti Somalia Sudan No Data Bahrain Jordan Kuwait Lebanon Libyan Arab Jamahiriya Qatar Tunisia United Arab Emirates

0 0 0 0 0 0 <1 <1 <1 4 14 41 85 7

Regional average

Suriname Haiti Guyana No Data

Antigua and Barbuda Bahamas Barbados Canada Chile Cuba Dominica Grenada Jamaica Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States of America Uruguay

Republic of Korea China Malaysia Philippines Viet Nam

0 <1 <1 <1 <1 1 4 13 30 45 <1

Lao People's Democratic Republic Cambodia Vanuatu Solomon Islands Papua New Guinea No Data Australia Brunei Darussalam Cook Islands Fiji Japan Kiribati Marshall Islands Micronesia (Federated States of) Mongolia Nauru New Zealand Niue Palau Samoa Singapore Tonga Tuvalu

Guinea Liberia Chad Burkina Faso Guinea-Bissau Mali Equatorial Guinea Niger No Data Lesotho Mauritius Seychelles

Democratic People's Republic of Korea Sri Lanka Nepal

Thailand

0 <1 <1 <1 1 2 3 4 19 93

India Indonesia Bhutan Bangladesh Myanmar Timor-Leste No Data Maldives

Ukraine United Kingdom

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the estimated number of deaths from malaria for 2006 with countries sorted by level within each WHO region. Further details can be found in Table 2. 26

15. Children aged <5 years sleeping under insecticide-treated bednets (%)

Niger Gambia Ethiopia Sao Tome and Principe Guinea-Bissau Togo Mali Malawi Zambia Ghana Benin Angola Senegal United Republic of Tanzania Central African Republic Regional average Cameroon Rwanda Burkina Faso Uganda Comoros Burundi Congo Cte d'Ivoire Kenya Sierra Leone Eritrea Liberia Zimbabwe Mauritania
Democratic Republic of the Congo

56 49 42 42 39 38 27 23 23 22 20 18 16 16 15 13 13 10 10 9 8 6 6 6 5 4 3 3 2 1 1 1 1 0 14

Suriname No Data Argentina Bahamas Belize Bolivia Brazil Colombia Costa Rica Dominican Republic Ecuador
El Salvador

Azerbaijan Tajikistan No Data

1 1

Sudan Somalia Djibouti Iraq No Data Afghanistan Egypt Iran (Islamic Republic of) Morocco Oman Pakistan Saudi Arabia Syrian Arab Republic Yemen Not applicable Bahrain Jordan Kuwait Lebanon Libyan Arab Jamahiriya Qatar Tunisia United Arab Emirates

28 9 1 0

Armenia Georgia Kyrgyzstan Russian Federation Turkey Turkmenistan Uzbekistan Not applicable Albania Andorra Austria Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan Latvia Lithuania Luxembourg Malta Monaco Montenegro Netherlands Norway Poland Portugal Republic of Moldova Romania San Marino Serbia Slovakia
Slovenia

Guatemala Guyana Haiti Honduras Jamaica Mexico Nicaragua Panama

Paraguay

Peru
Venezuela (Bolivarian Republic of)

Not applicable Antigua and Barbuda Barbados Canada Chile Cuba Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago
United States of America
Uruguay

Lao People's Democratic Republic Viet Nam Cambodia No Data

18 5 4

China Malaysia Papua New Guinea Philippines Republic of Korea Solomon Islands Vanuatu Not applicable Australia Brunei Darussalam Cook Islands Fiji Japan Kiribati Marshall Islands Micronesia (Federated States of) Mongolia Nauru New Zealand Niue Palau Samoa Singapore Tonga Tuvalu

Equatorial Guinea Guinea Nigeria Swaziland No Data Algeria Botswana Cape Verde Chad Gabon Madagascar Mozambique Namibia South Africa Not applicable Lesotho Mauritius Seychelles

Timor-Leste Indonesia No Data

8 0

Bangladesh Bhutan India Myanmar Nepal Sri Lanka Thailand Democratic People's Republic of Korea Not applicable Maldives

Spain Sweden Switzerland

The former Yugoslav Republic of Macedonia

Ukraine United Kingdom

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of children under five years of age who slept under an insecticide-treated mosquito net the night prior to the survey. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Table 4. 27

16. Children aged <5 years who received any antimalarial treatment for fever (%)

Comoros Gambia Ghana Uganda Cameroon United Republic of Tanzania Zambia Central African Republic Benin
Democratic Republic of the Congo

63 63 61 61 58 58 58 57 54 52 52 49 48 48 48 46 44 36 34 34 33 33 32 32 30 29 27 26 25 24 22 15 14 10 12 5 4 Regional average 36

Haiti Nicaragua Honduras No Data Argentina Bahamas Belize Bolivia Brazil Colombia Costa Rica Dominican Republic Ecuador El Salvador Guatemala Guyana Jamaica Mexico Panama Paraguay Peru Suriname
Venezuela (Bolivarian Republic of)

5 2 1

Tajikistan Azerbaijan No Data

2 1

Sudan Djibouti Somalia Iraq No Data Afghanistan Egypt Iran (Islamic Republic of) Morocco Oman Pakistan Saudi Arabia Syrian Arab Republic Yemen Not applicable Bahrain Jordan Kuwait Lebanon Libyan Arab Jamahiriya Qatar Tunisia United Arab Emirates

50 10 8 1

Armenia Georgia Kyrgyzstan Russian Federation Turkey Turkmenistan Uzbekistan Not applicable Albania Andorra Austria Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan Latvia Lithuania Luxembourg Malta Monaco Montenegro Netherlands Norway 10 Poland Portugal Republic of Moldova Romania San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland
The former Yugoslav Republic of Macedonia

Sierra Leone Equatorial Guinea Burkina Faso Congo Togo Guinea-Bissau Guinea Regional average Cte d'Ivoire Madagascar Nigeria Mauritania Niger Chad Mali Burundi Angola Kenya Swaziland Sao Tome and Principe Malawi Senegal Mozambique Namibia Ethiopia Rwanda Zimbabwe Eritrea No Data Algeria Botswana Cape Verde Gabon Liberia South Africa Not applicable Lesotho Mauritius Seychelles

Not applicable Antigua and Barbuda Barbados Canada Chile Cuba Dominica Grenada Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago
United States of America

Lao People's Democratic Republic Viet Nam Cambodia No Data

9 3 0

China Malaysia Papua New Guinea Philippines Republic of Korea Solomon Islands Vanuatu Not applicable Australia Brunei Darussalam Cook Islands Fiji Japan Kiribati Marshall Islands Micronesia (Federated States of) Mongolia Nauru New Zealand Niue Palau Samoa Singapore Tonga Tuvalu

Uruguay

Timor-Leste India Indonesia No Data

47 12 1

Bangladesh Bhutan Myanmar Nepal Sri Lanka Thailand Democratic People's Republic of Korea Not applicable Maldives

Ukraine United Kingdom

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of children under five years of age with fever in the two weeks prior to the survey who received any antimalarial medicine. Within each WHO region, countries are sorted by the latest available data since 2000. Further details can be found in Table 4. 28

17. Tuberculosis treatment success under DOTS (%)

Mauritius Algeria Eritrea Sierra Leone Rwanda

Democratic Republic of the Congo

92 91 90 87 86 86 85 85 85 84 83 83 79 78 78 77 76 76 76 76 76 75 74 74 73 73 72 70 67 66 60 58 54 53 46 43 41 18 75 Regional average

Barbados Saint Kitts and Nevis El Salvador Cuba Nicaragua Costa Rica Uruguay Honduras Chile Paraguay Bolivia
Venezuela (Bolivarian Republic of)

100 100 91 90 89 88 87 86 85 83 83 82 82 80 80 79 78 78 75 74 72 71 68 64 63 57 50 47 41 Regional average 75

Malta Bosnia and Herzegovina Albania Norway Slovenia Turkey Cyprus Portugal
The former Yugoslav Republic of Macedonia

100 97 93 93 92 91 88 87 87 84 84 84 83 82 81 81 80 77 75 75 75 74 74 73 73 72 71 70 70 69 69 68 63 62 60 59 58 46 30

Tunisia Lebanon Somalia Pakistan Egypt Morocco Oman Syrian Arab Republic Regional average Bahrain Iraq Afghanistan Iran (Islamic Republic of) Yemen Sudan United Arab Emirates Kuwait Djibouti Libyan Arab Jamahiriya Jordan Saudi Arabia Qatar

91 90 89 88 87 87 86 86 86 84 84 83 83 82 79 78 78 77 71 69 69 86

Kenya Zambia United Republic of Tanzania Ethiopia Mozambique Burundi Cape Verde Madagascar Malawi Niger Nigeria Namibia Ghana Mali Senegal Regional average Guinea Cameroon South Africa Cte d'Ivoire Burkina Faso Botswana Uganda Togo Lesotho Zimbabwe Gambia Chad Congo Gabon Swaziland Mauritania Angola No Data Benin Central African Republic Comoros Equatorial Guinea Guinea-Bissau Liberia Sao Tome and Principe Seychelles

Tajikistan Serbia Turkmenistan Romania Kyrgyzstan Uzbekistan Slovakia Bulgaria Denmark Georgia Poland Andorra Israel Lithuania Latvia Belgium Kazakhstan Austria Belarus Armenia Czech Republic Estonia Sweden Republic of Moldova Azerbaijan Ukraine Russian Federation Hungary Croatia No Data Finland France Germany Greece Iceland Ireland 87 Italy Luxembourg Monaco Montenegro Netherlands San Marino Spain Switzerland United Kingdom

Haiti Saint Lucia Mexico Panama Peru Dominican Republic Bahamas Ecuador Brazil Colombia Guyana United States of America Argentina Canada Dominica Guatemala Jamaica No Data Antigua and Barbuda Belize Grenada Saint Vincent and the Grenadines Suriname Trinidad and Tobago

Nauru Tonga China Cambodia Viet Nam Lao People's Democratic Republic Regional average Vanuatu Kiribati Solomon Islands Philippines Mongolia Australia Singapore Brunei Darussalam Republic of Korea Marshall Islands Tuvalu Papua New Guinea New Zealand Fiji Palau Japan Malaysia No Data Cook Islands Niue Samoa

100 100 94 93 92 92 90 90 90 90 88 88 85 84 84 81 75 75 73 70 66 60 53 48 92

Micronesia (Federated States of)

Bangladesh Indonesia Maldives Bhutan Nepal Regional average Democratic People's Republic of Korea India Myanmar Timor-Leste Thailand Sri Lanka

92 91 91 89 88 87 86 86 84 79 77

Key
Country trend 1990 Latest available

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of new smear-positive patients registered for treatment under DOTS who were cured (with laboratory confirmation) or completed their course of treatment in 2006 with countries sorted by level within each WHO region. The average for each region is shown in the horizontal line. The bold lines indicate trends since 1990. Further details can be found in Table 4. 29

18. Access to improved drinking-water sources (%)

Mauritius Botswana Namibia South Africa Gabon Gambia Sao Tome and Principe Algeria Comoros Cte d'Ivoire Zimbabwe Ghana Lesotho Senegal Malawi Burkina Faso Burundi Congo Cameroon Guinea Central African Republic Benin Rwanda Liberia Uganda Eritrea Mali Mauritania Swaziland Togo Regional average Zambia Kenya United Republic of Tanzania Sierra Leone
Angola

100 96 93 93 87 86 86 85 85 81 81 80 78 77 76 72 71 71 70 70 66 65 65 64 64 60 60 60 60 59 59 58 57 57 55 53 51 48 47 47

Barbados Canada Uruguay Saint Kitts and Nevis United States of America Costa Rica Saint Lucia Argentina Guatemala Chile
Dominican Republic

100 100 100 99 99 98 98 96 96 95 95 95 95 94 93 93 93 92 92 91 91 86 84 84 84 79 77 58 Regional average 94

Andorra Austria Belarus Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Israel Luxembourg Malta Netherlands Norway Slovakia Spain Sweden Switzerland
The former Yugoslav Republic of Macedonia

100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 99 99 99 99 99 99 99 98 98 97 97 97 97 97 96 90 89 88 88 78 67 Regional average Regional average

Lebanon Qatar United Arab Emirates Egypt Jordan Tunisia Djibouti

Pakistan

100 100 100 98 98 94 92 90 89 83 82 77 70 66 29 22

Syrian Arab Republic Morocco Iraq

Sudan

Ecuador Mexico Trinidad and Tobago Regional average Colombia

Guyana

Yemen Somalia Afghanistan No Data Bahrain Iran (Islamic Republic of) Kuwait Libyan Arab Jamahiriya Oman Saudi Arabia

Jamaica Panama Suriname Brazil Cuba Bolivia El Salvador Honduras Peru Nicaragua Paraguay Haiti No Data Antigua and Barbuda Bahamas Belize Dominica Grenada Saint Vincent and the Grenadines
Venezuela (Bolivarian Republic of)

United Kingdom Bosnia and Herzegovina Bulgaria Croatia

Georgia

Australia Japan Niue Tonga Malaysia Cook Islands Micronesia (Federated States of) Philippines Tuvalu Viet Nam Palau China Samoa Mongolia Solomon Islands Cambodia Kiribati Lao People's Democratic Republic Fiji Papua New Guinea No Data Brunei Darussalam Marshall Islands Nauru New Zealand Republic of Korea Singapore Vanuatu

100 100 100 100 99 95 94 93 93 92 89 88 88 72 70 65 65 60 47 40 89

Latvia Portugal Serbia Armenia Montenegro Albania Russian Federation Turkey Ukraine Kazakhstan Kyrgyzstan Romania Uzbekistan 87 Azerbaijan Tajikistan No Data Belgium Ireland Italy Lithuania Monaco Poland San Marino Slovenia Turkmenistan

Guinea-Bissau

Chad Madagascar Nigeria

Democratic Republic of the Congo

Republic of Moldova 100 98 89 89 83 82 81 80 80 80 62

Equatorial Guinea Ethiopia Mozambique Niger No Data Cape Verde Seychelles

46 Democratic People's Republic of Korea 43 Thailand 42 42 42 Regional average India

Nepal

Maldives Sri Lanka Bhutan Bangladesh Indonesia Myanmar

Key

Timor-Leste

MDG target

2015 Latest available

1990 Country trend

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of the population using an improved drinking-water source with countries sorted by 2006 level within each WHO region. The bold lines indicate trends since 1990. The thin lines indicate the projected trend needed to double, by 2015, the proportion of people with sustainable access to safe drinking-water. The MDG target is worded in terms of halving, by 2015, the proportion of people without sustainable access to safe drinking-water. Further details can be found in Table 5. 30

19. Access to improved sanitation (%)

Mauritius Algeria Malawi South Africa Gambia Zambia Cameroon Equatorial Guinea Angola Swaziland Botswana Zimbabwe Mali Kenya Burundi Gabon Lesotho Namibia Comoros Guinea-Bissau Uganda United Republic of Tanzania Regional average Liberia Central African Republic
Democratic Republic of the Congo

94 94 60 59 52 52 51 51 50 50 47 46 45 42 41 36 36 35 35 33 33 33 33 32 31 31 31 30 30 28 24 24 24 23 20 19 13 12 12 11 11 10 9 7 5

Uruguay Canada United States of America Bahamas Barbados Cuba Grenada Saint Kitts and Nevis Costa Rica Chile
Trinidad and Tobago

100 100 100 100 99 98 97 96 96 94 92 91 87 86 84 84 83 82 81 81 79 78 77 74 72 70 66 48 43 19 Regional average

Andorra Austria Cyprus Denmark Finland Germany Hungary Iceland Luxembourg Netherlands Slovakia Spain Sweden Switzerland Czech Republic Bulgaria Croatia Portugal Greece Albania Kazakhstan Uzbekistan Bosnia and Herzegovina Estonia Belarus Georgia Ukraine
Kyrgyzstan

100 100 100 100 100 100 100 100 100 100 100 100 100 100 99 99 99 99 98 97 97 96 95 95 93 93 93 93 93 92 92 91 91 89 88 87 80 79 78 72 Regional average

Qatar United Arab Emirates Libyan Arab Jamahiriya Syrian Arab Republic Jordan Tunisia Iraq
Morocco

100 97 97 92 85 85 76 72 67 66 58 46 35 30 23 60

Djibouti Egypt Pakistan

Yemen

Regional average

Argentina

El Salvador Guatemala Ecuador

Jamaica

Sudan Afghanistan Somalia No Data Bahrain Iran (Islamic Republic of) Kuwait Lebanon Oman Saudi Arabia

Suriname Guyana Mexico Dominican Republic Colombia Brazil Panama Peru Paraguay Honduras Nicaragua Bolivia Haiti No Data Antigua and Barbuda Belize Dominica Saint Lucia Saint Vincent and the Grenadines
Venezuela (Bolivarian Republic of)

Mozambique Benin Nigeria Senegal Cte dIvoire Mauritania Sao Tome and Principe Rwanda Congo Guinea
Burkina Faso

Niue Japan Australia Cook Islands Samoa Tonga Malaysia Tuvalu Philippines Regional average Fiji Palau Viet Nam China Mongolia Lao People's Democratic Republic Papua New Guinea Kiribati Solomon Islands Cambodia Micronesia (Federated States of) No Data Brunei Darussalam Marshall Islands Nauru New Zealand Republic of Korea Singapore Vanuatu

100 100 100 100 100 96 94 89 78 71 67 65 65 50 48 45 33 32 28 25 69

Serbia Tajikistan Armenia Montenegro

The former Yugoslav Republic of Macedonia

Turkey Russian Federation Azerbaijan Republic of Moldova Latvia Romania No Data Belgium France Ireland Israel Italy Lithuania Malta Monaco Norway Poland San Marino Slovenia Turkmenistan United Kingdom

Madagascar Togo Ethiopia Sierra Leone Ghana Chad Niger Eritrea No Data Cape Verde Seychelles

Thailand Sri Lanka Myanmar

Maldives

96 86 82 59 52 52 41 37 36 28 27

Bhutan Indonesia Regional average Timor-Leste Bangladesh India Nepal

Key

No Data

MDG target

2015 Latest available

1990 Country trend

Democratic People's Republic of Korea

AFR = WHO African Region; AMR = WHO Region of the Americas; SEAR = WHO South-East Asia Region; EUR = WHO European Region; EMR = WHO Eastern Mediterranean Region; WPR = WHO Western Pacific Region. This chart shows the percentage of the population using an improved sanitation facility with countries sorted by 2006 level within each WHO region. The bold lines indicate trends since 1990. The thin lines indicate the projected trend needed to double, by 2015, the proportion of people with sustainable access to basic sanitation. The MDG target is worded in terms of halving, by 2015, the proportion of people without sustainable access to basic sanitation. Further details can be found in Table 5. 31