Bolivia

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 9,354 (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 Latin America, 1997-2002
Total under-five population (000) 1,243 (2006) undernutrition
Unmet need for family planning (%) 23 (2003) Sepsis/Infections, Anaemia
Births (000) 264 (2006) Injuries Malaria Measles Causes of neonatal
including AIDS 0% Contraceptive
150 5% 1% 0% deaths 58 Pre-pregnancy
82 (2006) HIV/AIDS Antenatal visits for woman (4 or more visits, %) 58 (2003) 8% prevalence rate
Birth registration (%) 125 Diarrhoea Diarrhoea 2%
14% 0% Tetanus 2% Antenatal visit
Under-five mortality rate (per 1000 live births) 61 (2006) 120 Other 8% Hypertensive (1 or more) 79 Pregnancy
Congenital 9% Intermittent preventive treatment for malaria (%) --- Abortion disorders
Pneumonia 12% Skilled attendant
Infant mortality rate (per 1000 live births) 50 (2006) 26% 67 Birth
90 17% Infection 23% C-section rate (total, urban, rural; %) at birth
Neonatal mortality rate (per 1000 live births) 27 (2000) 61 Neonatal (Minimum target is 5% and maximum target is 15%) 15,21,6 (2003)
38% *Postnatal care Neonatal period
Total under-five deaths (000) 16 (2006) 60 Obstructed labor
42 Asphyxia 26% Early initiation of breastfeeding (within 1 hr of birth, %) 61 (2003) 13% Exclusive
54 Infancy
Maternal mortality ratio (per 100,000 live births) 290 (2005) 30 breastfeeding
MDG Target Haemorrhage
89 (2005) Postnatal visit for baby (within 2 days for home births, %) --- Measles
Lifetime risk of maternal death (1 in N) Preterm 31% 21% 81
0 Other Other causes
Total maternal deaths 760 (2005) 1990 1995 2000 2005 2010 2015 25% 21%
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, %) 33 (2003) Complementary feeding rate (6-9 months, %) 74 (2003) 100 100 100
83 79
Wasting prevalence (moderate and severe, %) 2 (2003) Low birthweight incidence (%) 7 (2003) 80 80 80 71
69 69 65 67
59
Underweight prevalence Exclusive breastfeeding Vitamin A supplementation 60 53 60
47
60

Percent

Percent

Percent
46 43
Percent children < 5 years underweight for age* Percent infants < 6 months exclusively breastfed Percent children 6-59 months receiving vitamin A doses
40 40 40
At least one dose Two doses
100 100 100 20 20 20
85
80 80 80 73 0 0
1989 1994 1998 2000 2003 1989 1994 1998 2000 2002 2003 1987 1992 1997 2002 2006
60 60 50 54 60 50 DHS DHS DHS MICS DHS DHS DHS DHS MICS Other NS DHS
Percent

Percent

Percent
43 68 42
Source: WHO/UNICEF

39 38 39
31
40 40 40
42 39
20 20 20
35 31 33
38
WATER AND SANITATION EQUITY
6 6
0 0 0
1998 2003 1994 1998 2000 2003 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
DHS DHS 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 95 100 100
91
CHILD HEALTH 85
80 72 80 80
68
60
Immunization Malaria prevention Prevention of mother to child 60 60
49
60
49

Percent

Percent

Percent
Percent of children immunised against measles 46
Percent of children immunised with 3 doses DPT
Percent children < 5 years sleeping under ITNs* transmission of HIV
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 40 33 40
Percent of children immunised with 3 doses Hib 22
20 20 14 20
100
81 0 0 0
80 81 1990 2004 1990 2004 Poorest 2nd 3rd 4th Wealthiest
81 Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
60 1994 1998 2000 2003
Percent

No data No data DHS DHS MICS DHS

40 POLICIES SYSTEMS
20
Coverage gap (%) 48 44 33 33
International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 Substitutes Partial Ratio
1990 1995 2000 2005 2006 Per capita total expenditure on health (US$) 186 (2007) poorest/wealthiest --- 2.5 2.4 2.8
Source: WHO/UNICEF
New ORS formula and zinc for management of Difference
*Sub-national risk of malaria transmission General government expenditure on health as
diarrhoea --- poorest-wealthiest (%) --- 38 30 30
% of total government expenditure (%) 13 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials* Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics Yes Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 32 (2007)
IMCI adapted to cover newborns 0-1 week of age Yes
antibiotics
Density of health workers (per 1000 population) 3.3 (2001)
100 100 Costed implementation plan(s) for maternal,
newborn and child health available Partial Official Development Assistance to child health
80 80 per child (US$) 6 (2005)
Midwives be authorised to administer a core set of
60
59 54
60 54 52
life saving interventions --- Official Development Assistance to maternal and
Bolivia
Percent

Percent

43 neonatal health per live birth (US$) 11 (2005)

No data 40
40 34 40 Maternity protection in accordance with ILO
30 National availability of Emergency Obstetric Care
Convention 183 Partial
20 20 services (% of recommended minimum) 48 (2003)
Specific notification of maternal deaths ---
0 0
1994
DHS
1998
DHS
2000
MICS
2003
DHS
1994
DHS
1998
DHS
2000
MICS
2003
DHS
Countdown to 2015
*Sub-national risk of malaria transmission 2008 Report