Country Profile

Liberia

Maternal, Newborn &

Child Survival

March 2012

Statistics and Monitoring Section / Policy and Practice

 Liberia
DEMOGRAPHICS
Total population (000) 3,994 (2010) Under-five mortality rate Causes of under-five deaths
Deaths per 1000 live births
Total under-five population (000) 681 (2010) Globally more than one third of child deaths are attributable to under
nutrition
Births (000) 154 (2010) 250
227 Causes of under-five deaths, 2008
Under-five mortality rate (per 1000 Causes of neonatal deaths, 2008
103 (2010)
live births)
200 HIV/AIDS
Diarrhoea
Infant mortality rate (per 1000 74 (2010) Other 3%
2% Asphyxia
16%
live births) 26%
Neonatal Preterm
Neonatal mortality rate (per 1000 34 (2010) 150 32% 31% Tetanus
1%
live births) Pneumonia

Total under-five deaths (000) 15 (2010) 103 14%

100
Maternal mortality ratio, adjusted (per 990 (2008) 76
Injuries
100,000 live births) 1% Measles
Other
5%
2%
Maternal mortality ratio, reported (per 994 (2001- 50
MDG Diarrhoea Malaria
Congenital
6% Infection
100,000 live births) Target 16% 16%
29%

Lifetime risk of maternal death (1 in N) 20 (2008)

0
Total maternal deaths (number) 1,400 (2008) 1990 1995 2000 2005 2010 2015
WHO/CHERG 2010
Source: IGME 2011 Note: Figures may not add to 100% due to rounding.

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN

NUTRITION 4
Wasting prevalence (based on 2006 WHO 3 (2010) Introduction of solid, semi-solid or - - Low birthweight incidence (%) 14 (2007)
reference population, moderate and severe, %) soft foods (6-9 months, %)

Underweight prevalence Stunting prevalence Exclusive breastfeeding

Percent of children <5 years underweight for age Percent of children <5 years with low height for age Percent of infants <6 months exclusively breastfed
Based on 2006 WHO reference population Based on 2006 WHO reference population
100 100 100
% % %

80 80 80

60 60 60
45 42
39 35 34
40 40 40
23 29
20 15
20 20 20
12
0 0 0
1999-2000 2007 2010 1999-2000 2007 2010 1986 1999-2000 2007 2010
Other NS DHS Other NS Other NS DHS Other NS DHS Other NS DHS Other NS

CHILD HEALTH
Immunization Pneumonia treatment Vitamin A supplementation
Percent of children <5 years with suspected pneumonia taken Percent of children 6-59 months receiving two doses of
Percent of children immunised against measles
to appropriate health provider vitamin A during calendar year
Percent of children immunised with 3 doses DPT Percent of children <5 years with suspected pneumonia
Percent of children immunised with 3 doses of Hib receiving antibiotics
100 100 100 97
% % % 85 92
80 79
80 80
64 62
60 64 60 60
64
40 No Data
40 40

20
20 20
2 3
0
0 1986 2007 0
1990 1995 2000 2005 2010 DHS DHS 2005 2006 2007 2008 2009 2010

Source: WHO/UNICEF 2011 Source: UNICEF 2011

Diarrhoeal disease treatment Malaria treatment Malaria prevention

Percent of children <5 years with diarrhoea receiving oral Percent of febrile children <5 years using anti-malarials Percent of children <5 years sleeping under ITNs
rehydration therapy (ORS, recommended homemade fluids or
increased fluids), with continued feeding

100 100 100

% % %
80 80 80
67
59
60 60 60
47
40 40 40
26
20 20 20

0 0 0
2007 2007 2009 2009
DHS DHS Other NS Other NS
 Liberia
MATERNAL AND NEWBORN HEALTH
Proportion of women with low BMI 10 (2007) Causes of maternal deaths Coverage along the continuum of care
(< 18.5 Kg/m2, %) Regional estimates for sub-Saharan Africa, 1997-2007
Demand for family planning satisfied (%) 22 (2007)

Total fertility rate 5.2 (2010) Contraceptive

Indirect prevalence rate 11
Adolescent birth rate 177 (2006- 17%
(births per 1000 woman aged 15-19 yr) Antenatal visit
Embolism Haemorrhage 79
(1 or more)
1% 34%
Antenatal visit for woman 66 (2007)
(4 or more visits, %) Skilled attendant
46
at birth
Early initiation of breastfeeding 44 (2010) Abortion
(within 1 hour of birth, %) 9% Postnatal care 60

Institutional deliveries (%) 37 (2007) Exclusive

breastfeeding 34
Postnatal visit for baby - - Hypertension
Other direct
19% Measles 64
(within 2 days for home births, %) 11%
Sepsis
Postnatal visit for mother 60 (2007) 9% 0 20 40 60 80 100 %
(within 2 days, %) Source: WHO 2010 Note: Figures may not add to 100% due to rounding. Source: DHS, MICS, Other NS

Antenatal care Skilled attendant at delivery Neonatal tetanus protection

Percent of women aged 15-49 years attended at least once by a Percent of live births attended by skilled health personnel Percent of newborns protected against tetanus
skilled health provider during pregnancy

100 100 100

% % 91
% 84
83
79 80 80
80

58
60 60 60
51 46
40 40 Source:
40 WHO/UNICEF 2011

20 20 20

0 0 0
1986 1999-2000 2007 1986 1999-2000 2007 1990 1995 2000 2005 2010
DHS DHS DHS DHS DHS DHS

Source: WHO/UNICEF 2011

HIV AND AIDS EDUCATION

HIV prevalence among young 0.7 [0.2 - 1.2] (2009) Prevention of mother-to-child transmission of HIV Survival to last grade of primary school 46 (2007)
women (15-24 yrs,%) Percent of HIV+ pregnant women receiving ARVs for PMTCT (total, admin data, %)

HIV prevalence among young 0.3 [0.1 - 0.5] (2009) Survival to last grade of primary school 49 (2007)
men (15-24 yrs,%) (male, admin data, %)
100
%
HIV+ children receiving ART (%) 9 [6 - 19] (2009) Survival to last grade of primary school 43 (2007)
80 (female, admin data, %)
Orphan school attendance ratio 0.85 (2007)
Primary school net enrolment ratio - -
60
(total, admin data, %)
38
40
22 Primary school net enrolment ratio - -
20 (male, admin data, %)
20
Source: MOH/UNAIDS/WHO
5
0 Primary school net enrolment ratio - -
2005 2008 2009 2010 (female, admin data, %)

Source: MOH/UNAIDS/WHO

WATER AND SANITATION CHILD PROTECTION

Drinking water coverage Sanitation coverage Women aged 20-24 years who were 38 (2007)
Percent of population by type of drinking water source, 2010 Percent of population by type of sanitation facility, 2010 married or in union by age 18 (%)

Birth registration (%) 4 (2007)

Piped onto premises Other improved Unimproved Surface water Improved facility Shared facility Unimproved facility Open defecation
sources Female genital mutilation/cutting (%) 58 (2007)

100% 1 100%
12 11 23 25
80% 15 80%
45
17 16 64
60% 60%

80 12
40% 40%
30
69
59 25 8
20% 20%
29 21
4 1 18
0%
8 7
0%
Total Urban Rural Total Urban Rural
Source: WHO/UNIEF JMP 2012 Source: WHO/UNIEF JMP 2012
 DISPARITIES IN INTERVENTION COVERAGE 1
Gender Residence Wealth Quintile
Indicator Total Ratio of Ratio of Ratio of
Equity
Male Female Male to Urban Rural Urban to Poorest Second Middle Fourth Richest Richest to
chart2
Source
Female Rural Poorest

DEMOGRAPHICS3
Under-five mortalty rate (per 1,000 live
103 - - - - - - 176 153 155 159 137 0.8 IGME 2011
births)
NUTRITION 4
Low birth weight incidence (%) 14 - - - 14 14 1.0 14 14 14 14 14 1.0 DHS 2007

Underweight prevalence (based on 2006

15 - - - - - - - - - - - - Other NS 2010
WHO reference population, %)
Stunting prevalence (based on 2006
42 - - - - - - - - - - - - Other NS 2010
WHO reference population, %)
Wasting prevalence (based on 2006
3 - - - - - - - - - - - - Other NS 2010
WHO reference population, %)

Exclusive breastfeeding (0-5 months, %) 34 - - - - - - - - - - - - Other NS 2010

Introduction of solid, semi-solid or soft

- - - - - - - - - - - - - -
foods (6-9 months, %)
Household consuming adequately
- - - - - - - - - - - - - -
iodized salt (15 ppm or more, %)
5
CHILD HEALTH
Care seeking for pneumonia (%) 62 64 61 1.0 73 59 1.2 59 46 72 62 - - DHS 2007

Antibiotic use for pneumonia (%) 2 2 3 0.6 2 2 0.7 - - - - - - DHS 1986

Diarrhoeal treatment - children receiving

47 48 46 1.0 50 46 1.1 40 41 52 53 56 1.4 DHS 2007
ORT and continued feeding (%)
Malaria prevention - children sleeping
26 26 27 1.0 24 28 0.9 26 34 25 23 23 0.9 Other NS 2009
under ITNs (%)
Malaria treatment - febrile children
67 - - - 72 64 1.1 54 66 70 77 73 1.3 Other NS 2009
receiving antimalarial medicines (%)
MATERNAL AND NEWBORN HEALTH
Antenatal care coverage at least one
79 - - - 94 72 1.3 67 69 78 92 96 1.4 DHS 2007
visit (%)
Antenatal care coverage (4 or more
66 - - - 76 61 1.2 - - - - - - DHS 2007
visits, %)

Skilled attendant at delivery (%) 46 - - - 79 32 2.4 26 32 43 69 81 3.2 DHS 2007

Early initiation of breastfeeding (%) 44 - - - - - - - - - - - - Other NS 2010

6
WATER AND SANITATION
2010
Use of improved drinking water
73 - - - 88 60 1.5 34 73 88 92 96 2.8 (WHO/UNICEF
sources (%) JMP 2012)
2010
Use of improved sanitation facilities (%) 18 - - - 29 7 4.1 8 31 46 61 78 9.4 (WHO/UNICEF
JMP 2012)
EDUCATION
Survival rate to last grade of primary
- - - - - - - - - - - - - -
school (survey data, %)
Primary school net attendance ratio
30 32 28 1.1 46 21 2.2 15 19 27 31 56 3.6 DHS 2007
(survey data, %)
CHILD PROTECTION
Women aged 20-24 years who were
38 - - - 25 49 0.5 57 48 43 31 18 0.3 DHS 2007
married or in union by age 18 (%)

Birth registration (%) 4 3 4 0.8 5 3 1.9 1 2 5 4 7 6.1 DHS 2007

Female genital mutilation/cutting (%) 58 - - - 40 72 0.5 73 71 67 51 35 0.5 DHS 2007

Note: The format for this Country Profile has been adapted from the Countdown to 2015 report. Coverage data have been largely derived from national household surveys such as the Multiple Indicator Cluster Surveys (MICS) and
Demographic and Health Surveys (DHS). For the majority of coverage indicators, UNICEF global databases were used. Other organizations such as the World Health Organization, UNAIDS, United Nations Population Fund,
London School of Hygiene and Tropical Medicine and Saving Newborn Lives also provided data. Details on indicators, data sources, and definitions of indicators, can be found at www.childinfo.org.
1. Disparities - Disparity information is only available for data directly derived from household surveys such as MICS and DHS. Therefore, disparity data are not available for the following indicators: vitamin A supplementation,
immunization, and for HIV/AIDS. In addition, neither UNICEF Global Databases nor databases from partner organizations maintain disparity data for the following indicators: total fertility rate, unmet need, institutional deliveries,
contraceptive prevalence, adolescent birth rate.
2. Equity chart - Displays values for the five wealth quintiles to the left. The scale is 0 to 100% for all charts except U5MR, which shows a range of 0 to 300 deaths per 1,000 live births.
3. U5MR - Wealth quintile data are derived directly from MICS, DHS or other surveys. The total is the inter-agency estimate published by the UN Inter-agency Group for Child Mortality Estimation (IGME).
4. Anthropometric indicators - Reference Standards for Underweight, Stunting and Wasting. New international Child Growth Standards for infants and young children were released by WHO in 2006, replacing the older NCHS/WHO
reference population. In using the 2006 WHO reference population, estimates generally change in the following manner: stunting is greater throughout childhood; underweight rates are higher during the first half of infancy and lower
thereafter; and, wasting rates are higher during infancy. Please note that there may be small discrepancies between the totals and the disparity data, as the totals have undergone additional analysis.
5. Child Health - All indicators in this section refer to children under 5 years of age.
6. Water and sanitation - Wealth quintile data are derived from MICS or DHS surveys. Urban, rural and total coverage estimates provided are for 2010 and are those published by the WHO/UNICEF Joint Monitoring Programme for
Water Supply and Sanitation.
r3 Printed on 23-May-12