Chad

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 10,468 (2006) Under-five mortality rate Causes of under-five deaths Causes of maternal deaths Coverage along the continuum of care
Deaths per 1000 live births Globally more than one third of child deaths are attributable to Regional estimates for Africa, 1997-2002
Total under-five population (000) 1,943 (2006) undernutrition
209 Unmet need for family planning (%) 23 (2004)
Births (000) 482 (2006) 201 Measles HIV/AIDS Injuries Causes of neonatal Obstructed labor Contraceptive
200 7% 4% 2% deaths Abortion 3 Pre-pregnancy
Birth registration (%) 9 (2006) Other Diarrhoea 3% Antenatal visits for woman (4 or more visits, %) 18 (2004) Anaemia 4% 4% prevalence rate
Diarrhoea 0% Congenital 5% 4% Antenatal visit
Under-five mortality rate (per 1000 live births) 209 (2006) 160 18% Other 8% (1 or more) 39 Pregnancy
Intermittent preventive treatment for malaria (%) ---
Tetanus 10% Hypertensive Skilled attendant
Infant mortality rate (per 1000 live births) 124 (2006) disorders Haemorrhage 14 Birth
120 Preterm 18% C-section rate (total, urban, rural; %) 34%
at birth
45 (2000) 9%
Neonatal mortality rate (per 1000 live births) Neonatal (Minimum target is 5% and maximum target is 15%) 0, 1, 0 (2004)
67 24% *Postnatal care 2 Neonatal period
Total under-five deaths (000) 101 (2006) 80 Sepsis/Infections,
Asphyxia 27%
Malaria Early initiation of breastfeeding (within 1 hr of birth, %) 34 (2004) including AIDS Exclusive
2 Infancy
MDG Target breastfeeding
Maternal mortality ratio (per 100,000 live births) 1,500 (2005) 40 22% 16%
11 (2005) Postnatal visit for baby (within 2 days for home births, %) --- Measles
Lifetime risk of maternal death (1 in N) Infection 28% Other causes
23
0 Pneumonia
Total maternal deaths 6,900 (2005) 1990 1995 2000 2005 2010 2015 30%
23%
Source: Lawn JE, Cousens SN
0 20 40 60 80 100
Source: UNICEF, 2006 Source: WHO, 2006 for CHERG (Nov 2006) Source: Khan, Khalid S., et al, Lancet 2006:367:1066-74 Source: DHS, MICS, Other NS
*See Annex for indicator definition

Antenatal care Skilled attendant at delivery Neonatal tetanus protection

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN Percent women aged 15-49 years attended at least once by a Percent live births attended by skilled health personnel Percent of newborns protected against tetanus

NUTRITION skilled health provider during pregnancy

Stunting prevalence (moderate and severe, %) 45 (2004) Complementary feeding rate (6-9 months, %) 77 (2004) 100 100 100
Wasting prevalence (moderate and severe, %) 16 (2004) Low birthweight incidence (%) 22 (2004) 80 80 80
60
Underweight prevalence Exclusive breastfeeding Vitamin A supplementation 60 60 60

Percent

Percent

Percent
Percent children < 5 years underweight for age* Percent infants < 6 months exclusively breastfed Percent children 6-59 months receiving vitamin A doses 42 39
40 40 40
At least one dose Two doses 23
99 95 15 16 14
100 100 100 92 91 20 20 20
85 84
92 93 93
80 80 80 88 0 0
79
1996-1997 2000 2004 1996-1997 2000 2004 1987 1992 1997 2002 2006
60 60 60 DHS MICS DHS DHS MICS DHS
Percent

Percent

Percent
Source: WHO/UNICEF

40 34 40 40
29

20 20 10
20 0 WATER AND SANITATION EQUITY
2 2 0 0
0 0 0
2000 2004 1996-1997 2000 2004 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
MICS DHS DHS MICS DHS
Source: UNICEF
Percent population using improved drinking water sources Percent population using improved sanitation facilities
*Based on 2006 WHO reference population Rural Urban Total Rural Urban Total
100 100 100
CHILD HEALTH
80 80 80

Immunization Malaria prevention Prevention of mother to child 60 60 60

Percent

Percent

Percent
Percent of children immunised against measles
Percent of children immunised with 3 doses DPT
Percent children < 5 years sleeping under ITNs transmission of HIV 41 43 41 42
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 40 40
Percent of children immunised with 3 doses Hib 28
24
19
20 13 20 20
7 4 9
100 100 5 2
0 0 0
80 80 4 1990 2004 1990 2004 Poorest 2nd 3rd 4th Wealthiest
Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
60 60 3 1997 2000 2004
Percent

Percent

Percent

2 DHS MICS DHS

40
23
40 2 POLICIES SYSTEMS
1
20 20 1
20 Coverage gap (%) 75 69 79
1 International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 0 0 Substitutes No Ratio
1990 1995 2000 2005 2006 2000 2005 2006 Per capita total expenditure on health (US$) 42 (2007) poorest/wealthiest 1.5 1.4 1.6
Source: WHO/UNICEF MICS Other NS Other NS
New ORS formula and zinc for management of Difference
General government expenditure on health as
diarrhoea Yes poorest-wealthiest (%) 30 23 37
% of total government expenditure (%) 10 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics No Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 60 (2007)
IMCI adapted to cover newborns 0-1 week of age No
antibiotics
Density of health workers (per 1000 population) 0.5 (2004)
100 100 100 Costed implementation plan(s) for maternal,
newborn and child health available Yes Official Development Assistance to child health
80 80 80 per child (US$) 4 (2005)
Midwives be authorised to administer a core set of
60 50 60 60 life saving interventions Partial Official Development Assistance to maternal and
Chad
Percent

Percent

Percent

neonatal health per live birth (US$) 5 (2005)

40 40 32 40 Maternity protection in accordance with ILO
27 National availability of Emergency Obstetric Care
23
22
Convention 183 No
19 services (% of recommended minimum) 40 (2002)
20 20 20 12
Specific notification of maternal deaths No
0 0 0
1996-1997
DHS
2000
MICS
2004
DHS
2000
MICS
1996-1997
DHS
2000
MICS
2004
DHS
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