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    Country Health System Fact Sheet 2 6

    Cape Verde

    PRAIA

    4033

    126

    YEARS CAPE VERDE

    WHO

    AFRICAN

    REGION

    (000) 2005 507 738 083(%) 19952004 2.1 2.2(%) 2005 58 38

    2004 3.6 5.3

    (%) 1997-2002 ... 11.7(%) 20002004 75.7 60.1

    Males (%) 100 70Females (%) 98 63

    (PPP Int.$) 2004 5650 2 074(% with

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    Legend:

    WHO African Region

    Cape Verde

    Source: World Health Statistics 2006

    Cape Verde

    Summary Year Males FemalesBothsexes

    Population (millions) 2005 .2 .3 .5

    Life expectancy (years) 2004 67 71 70

    Under-5 mortality (per 1 000 live births) 2004 38 35 36

    Adult mortality (per 1 000) 2004 209 139

    Maternal mortality (per 100 000 live births) 2000 150

    Source: World Health Statistics 2006

    Under-5 mortality rate (per 1 000 live births)

    Cape Verde, 2004

    Under-5 mortality

    Under-5 mortality: Estimated trend and MDG goalCape Verde, 1980-2004

    Source: i) WHO mortality database ii) World Health Statistics 2006

    Under-5 mortality: Age-specific mortality ratesCape Verde ,

    Source: World Health Report 2005

    Under-5 mortality: for highest and lowest quintiles

    Cape Verde, DHS

    Wealth/assets quintiles Lowest Highest Ratio

    ... ... ...

    Sex Males Females Ratio

    ... ... ...

    Urban/Rural Rural Urban Ratio

    ... ... ...

    Mother's education quintiles None Higher Ratio

    ... ... ...

    Note: rate per 1 000 live births for 10-year period preceding the survey

    Source: DHS

    Under-5 mortality rates by wealth quintile

    Cape Verde, DHS

    Note: rate for 10-year period preceding the survey

    Source: DHS

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    Causes of death in children under-5Distribution of causes of death

    among children under 5 years of age

    Cape Verde, 2000-2003

    Causes

    Deathsb Regional

    average

    (%) (%)

    Total neonatal deaths 100 100

    Neonatal causesa 26 26

    HIV/AIDS 4 7

    Diarrhoeal diseases 12 17

    Measles 4 4

    Malaria 4 17Pneumonia 13 21

    Injuries 3 2

    Others 33 6

    Includes diarrhoea during neonatal perioda.

    Sum of individual proportions may not add up to 100% due to

    rounding.

    b.

    Annual estimated proportions of deathby cause for neonates

    Cape Verde, 2000

    Causes

    DeathscRegional

    averagec

    (%) (%)

    Total neonatal deaths 100 100

    Neonatal tetanus 2 9

    Severe infectiona 19 27

    Birth asphyxia 22 24

    Diarrhoeal diseases 1 3

    Congenital anomalies 11 6

    Preterm birthb 39 23

    Others 6 7

    Includes deaths from pneumonia, meningitis, sepsis/septicaemia

    and other infections during the neonatal period.

    a.

    Includes only deaths directly attributed to prematurity and to specific

    complications of preterm birth such as surfactant deficiency, but notall deaths in preterm infants.

    b.

    Sum of individual proportions may not equal 100% due to rounding.c.

    Causes of DeathTop ten causes of death, all ages

    Cape Verde, 2002

    Causes

    Deaths

    Years

    of Life

    Lost

    (000) (%) (%)

    All causes 2 100 100

    Cerebrovascular disease 0 11 5

    Ischaemic heart disease 0 8 4

    Tuberculosis 0 7 11

    Diarrhoeal diseases 0 4 8

    Diabetes mellitus 0 4 2

    Perinatal conditions 0 4 8

    Hypertensive heart disease 0 3 2

    Chronic obstructive pulmonary disease 0 3 1

    Lower respiratory infections 0 3 5

    Asthma 0 2 2

    Source: Death and DALY estimates by cause, 2002

    http://www.who.int/entity/healthinfo/statistics/bodgbddeathdalyestimates.xls

    Life expectancy at birth among males (years)Cape Verde, 2004

    Life expectancy at birth among females (years)

    Cape Verde, 2004

    Maternal mortality ratio (per 100 000 live births)

    Cape Verde, 2000

    Legend:

    WHO African Region

    Cape Verde

    Source: World Health Statistics 2006

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    Country Health System Fact Sheet 2 6

    Cape Verde

    YEARS CAPE VERDE

    WHO

    AFRICAN

    REGION

    HIV prevalence amond adults (15 - 49) (%) Both sexes 2003 ... 7.1

    Both sexes 2004 314 518

    Both sexes 2004 172 356

    Both sexes 2005 0 854

    YEARS CAPE VERDE

    WHO

    AFRICAN

    REGION

    Non-communicable diseases - Infobase for the country See ---> http://www.afro.who.int/dnc/infobase/Cape_Verde.pdf

    ...

    ...

    ... 2000-2002 13 14

    Males ...

    Females ... Urban 2002 86 84Rural 2002 73 45Urban 2002 61 58Rural 2002 19 28Urban ... Rural ...

    Both sexes ...

    Males ... Females ... Males ... Females ...

    aWORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/

    Prevalence of current tobacco use (%)Adolescents (13 - 15)

    Prevalence of current tobacco use (%) Adults (15)

    Condom use by young people (15 - 24) at higher risk sex (%)

    Data not available or not applicable.

    Adults (15) who are obese (%)

    Access to improved water sources(%)

    Access to improved sanitation(%)

    Population using solid fuels(%)

    Chilfren under-5 stunted for age (Both sexes) (%)

    Children under-5 underweight for age(Both sexes) (%)Children under-5 overweight for age(Both sexes) (%)Newborns with low birth weight(Both sexes) (%)

    Number of comfirmed polio cases

    Data not available or not applicable.a

    WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/

    BEHAVIOUR AND ENVIRONMENTAL RISK FACTORS

    a

    HEALTH STATUS STATISTICS MORBIDITY

    a

    TB prevalence (per 100 000 population)

    TB incidence (per 100 000 population)

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    Country Health System Fact Sheet 2 6

    Cape Verde

    YEARS CAPE VERDE

    WHO

    AFRICAN

    REGION

    Measles % 2004 69 66DTP3 (%) 2004 75 66HepB3 (%) 2004 68 35

    At least 1 visit (%) 2001 ... At least 4 visits (%) 2001 99

    (%) 1998 89 (%) 1998 52.9

    (%) ...

    Antiretroviral therapy coverage (%) Dec 2005 17TB detection rate under DOTS (%) 2004 48TB detection treatment success DOTS (%) 2003 cohort ... 72

    (%) ...

    (%) ...

    (%) ...

    (%) 2002 ...

    (%) 1998 6

    YEARS CAPE VERDE

    Number 2004 231

    Density 2004 0.49

    Number 2004 410

    Density per 1000 2004 0.87

    Number ...

    Density per 1000 ...

    Number 2004 11

    Density per 1000 2004 0.02

    Number 2004 43

    Density per 1000 2004 0.09

    Number 2004 9

    Density per 1000 2004 0.02

    Number 2004 65

    Density per 1000 2004 0.14

    Number 2004 78

    Density per 1000 2004 0.16

    Number 2004 42

    Density per 1000 2004 0.09

    Number 2004 74

    Density per 1000 2004 0.16

    2003 4.6

    2003 73.2

    2003 26.8

    General government expenditure on health as % of total government expenditure 2003 11.1

    2003 10.0

    2003 35.5

    2003 99.7

    2003 0.32003 78

    2003 185

    2003 57

    2003 135

    ...

    ...

    Coverage of vital registration of deaths(%)

    Hospital beds (per 10 000)

    Data not available or not applicable.WORLD HEALTH STATISTICS 2006 http: www.who.int whosis en

    Per capita total expenditure on health at average exchange rate (US$)

    Per capita total expenditure on health at international dollar rate

    Per capita government expenditure on health at average exchange rate (US$)

    Per capita government expenditure on health at international dollar rate

    External ressources for health as % of total expenditure on health

    Social security expenditure on health as % of general government expenditure on health

    Out-of-pocket expenditure as % of private expenditure on health

    Private prepaid plans as % of private expenditure on health

    Health management and support workers

    Total expenditure on health as % of gross domestic product

    General government expenditure on health as % of total expenditure on health

    Private expenditure on health as % of total expenditure on health

    Public and environmental health workers

    Community Health workers

    Lab technicians

    Other health workers

    Nurses

    Midwives

    Dentists

    Pharmacists

    Data not available or not applicable.a

    WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/

    HEALTH SYSTEMS STATISTICS

    a

    Physicians

    Children under-5 with diarrhoea receiving ORTChildren under-5 with fever who received treatment with anyantimalarial

    Children 6-59 months who received vitamin A supplementation

    Births by Caesarean section

    Births attended by skilled health personnelContraceptive prevalence rate

    Children under-5 sleeping under insecticide-treated nets

    Children under-5 with ARI symptoms taken to facility

    HEALTH SERVICES COVERAGE STATISTICS

    a

    Immunization coverage among 1-year-olds

    Antenatal care coverage

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    Country Health System Fact Sheet 2 6

    Cape Verde

    Total numbers and densities of the health workforce in CAPE VERDE

    Total number CAPE VERDE

    Density per

    1000 CAPE

    VERDE

    Density per

    1000 AFRO

    231 0.488 0.217

    410 0.867 1.172

    11 0.023 0.035

    43 0.091 0.063

    9 0.019 0.049

    78 0.165 0.057

    42 0.089 0.173

    65 0.137 0.449

    74 0.156 0.411

    963 2.036 2.626

    Densities of health workers in CAPE VERDE and in the African Region per 1 population

    Health management and support

    Sum total

    Distribution of health workforce by cadre

    Other health workers

    Community health workers

    Dentists and technicians

    Pharmacists and technicians

    Environmental and public health workers

    Laboratory technicians

    HUMAN RESOURCES FOR HEALTH

    Country Fact Sheet Cape Verde

    Physicians

    Nurses and midwives

    Algeria

    0.000

    0.200

    0.400

    0.600

    0.800

    1.000

    1.200

    1.400

    Physicians Nurses and

    midwives

    Dentists and

    technicians

    Pharmacists

    and

    technicians

    Environ. and

    public health

    Laboratory

    technicians

    Other health

    workers

    Community

    health

    Management

    and support

    African Region

    CAPE VERDE

    CAPE VERDE

    24.0

    42.6

    4.4

    7.7

    1.1

    6.7

    4.5

    0.9

    8.1

    African Region

    9.7

    50.7

    1.52.8

    1.52.6

    7.5

    11.2

    12.5

    Physicians

    Nurses and midwives

    Dentists and technicians

    Pharmacists and technicians

    Environ. and public health

    Laboratory technicians

    Other health workers

    Community health

    Management and support

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    Country Health System Fact Sheet 2 6

    Cape Verde

    YEARS CAPE VERDE

    WHO

    AFRICAN

    REGION

    2000

    0

    1990

    2003 35

    2004 36

    14. Infant mortality rate (per 1000 live births, %) 1990 64

    2003 26

    2004 27

    2003 68

    2004 69

    0

    1990

    1995 190

    2000 150

    2003

    2004

    17. Proportion of births attended by skilled health personnel 2000 890

    2003

    19. Condom use rate of the contraceptive prevalence rate

    - Contraceptive prevalence rate 2000 52.9

    21. Prevalence rate associated with malaria

    - Death rates associated with malaria (per 100 000) 2000 20

    23. Prevalence rate associated with tuberculosis (per 100 000) 1990 404

    2000 402

    2004 314

    - Death rates associated with tuberculosis 1990 44

    2000 44

    2004 362003 42

    2004

    2002

    2003 ...

    0

    2002 36

    2002 86

    2002 73

    2002 61

    2002 19

    0

    aTHE WORLD HEALTH REPORT 2004 UPDATED WITH THE WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/

    GOAL 8: DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT

    46. Proportion of population with access to affordable essential drugs on a sustainable basis

    Data not available or not applicable.

    30. Proportion of population with sustainable access to improved water source, urban

    - Proportion of population with sustainable access to improved water source, rural

    31. Proportion of urban population with access to improved sanitation

    - Proportion of rural population with access to improved sanitation

    24. Proportion of tuberculosis cases detected under DOTS

    - Proportion of tuberculosis cases cured under DOTS

    GOAL 7: ENSURE ENVIRONMENTAL SUSTAINABILITY

    29. Proportion of population using solid fuels

    18. HIV prevalence among pregnant women aged 15-24

    - HIV prevalence among adults (15-49) %, both sexes

    20. Number of children orphaned by HIV/AIDS

    22. Proportion of population in malaria-risk areas using effective malaria prevention and trreatmentmeasures

    15. Proportion of one-year-old children immunized against measles, %

    GOAL 5: IMPROVE MATERNAL HEALTH

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

    GOAL 6: COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES

    4. Prevalence of underweight children under five years of age5. Proportion of population below minimum level of dietary energy consumptionGOAL 4: REDUCE CHILD MORTALITY

    13. Under-five mortality rate (per 1000 live births, %)

    GOAL 1: ERADICATE EXTREME POVERTY AND HUNGER

    MILLENIUM DEVELOPMENT GOALSa

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    Country Health System Fact Sheet 2 6

    Cape Verde

    Progres towards MDG Under-5 Mortality targetCAPE VERDE

    12

    3635

    35

    0

    5

    10

    15

    20

    25

    30

    35

    40

    1985 1990 1995 2000 2005 2010 2015 2020

    Year

    Under-5MortalityRate

    Target

    Maternal mortality ratio (per 100 000 live births)CAPE VERDE vs Africa

    0

    190

    150

    870 1000910

    0

    200

    400

    600

    800

    1000

    1200

    1988 1990 1992 1994 1996 1998 2000 2002

    Year

    Maternalmortalityratio

    CAPE VERDE Africa