Country Profile Myanmar Maternal, Newborn & Child Survival March 2012 Statistics and Monitoring Section / Policy and Practice Myanmar DEMOGRAPHICS Total population (000) Total under-five population (000) 47,963 (2010) 3,956 (2010) 830 (2010) 66 (2010) Births (000) Under-five mortality rate (per 1000 live births) Infant mortality rate (per 1000 live births) Neonatal mortality rate (per 1000 live births) Total under-five deaths (000) Under-five mortality rate Causes of under-five deaths Deaths per 1000 live births Globally more than one third of child deaths are attributable to under nutrition 120 112 Causes of under-five deaths, 2008 100 50 Other 12% (2010) 80 32 (2010) Diarrhoea 3% Neonatal 40% Pneumonia 12% 66 Causes of neonatal deaths, 2008 HIV/AIDS 1% Asphyxia 27% Preterm 34% Tetanus 0% 60 56 (2010) 240 (2008) 316 (2004- 180 (2008) 2,400 (2008) Maternal mortality ratio, adjusted (per 100,000 live births) Maternal mortality ratio, reported (per 100,000 live births) Lifetime risk of maternal death (1 in N) Total maternal deaths (number) 37 40 Injuries 22% MDG Target 20 0 1990 1995 2000 2005 2010 Measles 0% Diarrhoea 12% 2015 Other 5% Congenital 5% Malaria 2% Infection 26% WHO/CHERG 2010 Note: Figures may not add to 100% due to rounding. Source: IGME 2011 INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN NUTRITION 4 8 Wasting prevalence (based on 2006 WHO reference population, moderate and severe, %) - (2009- Introduction of solid, semi-solid or - 9 Low birthweight incidence (%) 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 % 80 80 60 60 100 % 80 59 55 60 41 39 40 30 28 41 35 40 30 20 0 2000 MICS 2003 MICS 2009-2010 MICS 24 15 20 0 1997 Other NS 40 23 20 1995 MICS (2009- soft foods (6-9 months, %) 0 1994 Other NS 1997 Other NS 2000 MICS 2003 MICS 2009-2010 MICS 2003 MICS 2009-2010 MICS CHILD HEALTH Vitamin A supplementation Pneumonia treatment Immunization Percent of children <5 years with suspected pneumonia taken to appropriate health provider Percent of children immunised against measles Percent of children immunised with 3 doses DPT Percent of children immunised with 3 doses of Hib 100 % 90 88 80 100 % 66 60 48 40 40 96 94 93 94 95 94 0 2005 2006 2007 2008 2009 2010 100 % 80 60 Percent of children 6-59 months receiving two doses of vitamin A during calendar year 80 60 No Data 40 20 20 20 0 0 1990 1995 2000 2005 2010 2000 MICS 2003 MICS Source: WHO/UNICEF 2011 Source: UNICEF 2011 Diarrhoeal disease treatment Malaria treatment Malaria prevention Percent of children <5 years with diarrhoea receiving oral rehydration therapy (ORS, recommended homemade fluids or increased fluids), with continued feeding Percent of febrile children <5 years using anti-malarials Percent of children <5 years sleeping under ITNs 100 % 80 65 60 48 No Data 40 20 0 2000 MICS 2003 MICS No Data Myanmar MATERNAL AND NEWBORN HEALTH Proportion of women with low BMI - - (< 18.5 Kg/m2, %) Causes of maternal deaths Coverage along the continuum of care Regional estimates for Southeast Asia, 1997-2007 Demand for family planning satisfied (%) 67 (2007) Total fertility rate 2.0 (2010) Adolescent birth rate 17 (2000- Contraceptive prevalence rate Indirect 22% Haemorrhage 32% (births per 1000 woman aged 15-19 yr) Antenatal visit for woman 73 (2007) 76 (2009- Embolism 2% (4 or more visits, %) Early initiation of breastfeeding 41 Antenatal visit (1 or more) 80 Skilled attendant at birth 64 Postnatal care (within 1 hour of birth, %) Institutional deliveries (%) Postnatal visit for baby 23 (2007) - - - - Abortion 9% Other direct 10% Hypertension 17% (within 2 days for home births, %) Postnatal visit for mother (within 2 days, %) Exclusive breastfeeding 24 Measles Sepsis 8% 88 0 Source: WHO 2010 Note: Figures may not add to 100% due to rounding. 20 40 60 80 100 % 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 skilled health provider during pregnancy Percent of live births attended by skilled health personnel Percent of newborns protected against tetanus 100 % 76 80 80 76 100 % 100 % 80 80 56 60 60 57 64 60 46 40 40 20 20 0 0 1997 Other NS 2001 Other NS Source: 40 WHO/UNICEF 2011 20 0 1991 Other NS 2007 Other NS 93 1997 Other NS 2001 Other NS 2007 Other NS 1990 1995 2000 2005 2010 Source: WHO/UNICEF 2011 HIV AND AIDS EDUCATION HIV prevalence among young women (15-24 yrs,%) 0.3 [0.2 - 0.3] HIV prevalence among young men (15-24 yrs,%) 0.3 [0.3 - 0.4] (2009) Prevention of mother-to-child transmission of HIV Survival to last grade of primary school Percent of HIV+ pregnant women receiving ARVs for PMTCT (total, admin data, %) (2009) Survival to last grade of primary school 70 (2008) 70 (2008) 69 (2008) - - - - - - - - 72 (2009- - - (male, admin data, %) HIV+ children receiving ART (%) [32 - 83] Orphan school attendance ratio (2009) - 100 % Survival to last grade of primary school 80 (female, admin data, %) 60 Primary school net enrolment ratio - (total, admin data, %) 40 Primary school net enrolment ratio (male, admin data, %) 20 Source: MOH/UNAIDS/WHO Primary school net enrolment ratio 0 2005 2008 2009 2010 (female, admin data, %) Source: MOH/UNAIDS/WHO CHILD PROTECTION WATER AND SANITATION Drinking water coverage Sanitation coverage Percent of population by type of drinking water source, 2010 Percent of population by type of sanitation facility, 2010 Women aged 20-24 years who were married or in union by age 18 (%) Birth registration (%) Piped onto premises 100% Other improved 6 11 Unimproved sources 5 2 80% 60% 40% Improved facility Surface water 100% 8 14 80% 75 40% 20% 0% 5 13 6 Unimproved facility 4 1 12 Open defecation 8 5 14 60% 74 75 Shared facility 76 83 Total Urban 73 20% 8 Total Source: WHO/UNIEF JMP 2012 19 3 Urban Rural 0% Source: WHO/UNIEF JMP 2012 Rural Female genital mutilation/cutting (%) DISPARITIES IN INTERVENTION COVERAGE 1 Gender Residence Wealth Quintile Male Female Ratio of Male to Female 66 - - - - - - - - - - - - IGME 2011 9 - - - 8 9 0.9 9 9 9 8 8 0.9 MICS 2009-2010 23 23 22 1.0 19 24 0.8 33 24 22 17 14 0.4 MICS 2009-2010 35 37 33 1.1 27 38 0.7 47 40 36 28 21 0.4 MICS 2009-2010 8 9 7 1.2 8 8 0.9 10 8 7 7 7 0.7 MICS 2009-2010 24 24 24 1.0 21 25 0.8 24 23 20 27 24 1.0 MICS 2009-2010 - - - - - - - - - - - - - - 93 - - - - - - - - - - - - Other NS 20072008 Care seeking for pneumonia (%) 66 64 67 1.0 69 65 1.1 - - - - - - MICS 2003 Antibiotic use for pneumonia (%) - - - - - - - - - - - - - - 65 - - - - - - - - - - - - MICS 2003 - - - - - - - - - - - - - - - - - - - - - - - - - - - - 80 - - - 91 76 1.2 - - - - - - Other NS 2007 73 - - - 90 68 1.3 - - - - - - Other NS 2007 64 - - - 82 58 1.4 - - - - - - Other NS 2007 76 - - - 81 74 1.1 67 73 79 81 82 1.2 MICS 2009-2010 Use of improved drinking water sources (%) 83 - - - 93 78 1.2 - - - - - - Use of improved sanitation facilities (%) 76 - - - 83 73 1.1 - - - - - - 100 99 100 1.0 100 100 1.0 100 100 99 100 100 1.0 MICS 2003 90 90 91 1.0 93 89 1.0 81 91 91 95 94 1.2 MICS 2009-2010 - - - - - - - - - - - - - - 72 73 72 1.0 94 64 1.5 50 64 75 87 96 1.9 MICS 2009-2010 - - - - - - - - - - - - - - Indicator Total Urban Rural Ratio of Urban to Rural Poorest Second Middle Fourth Richest Ratio of Richest to Poorest Equity chart2 Source DEMOGRAPHICS3 Under-five mortalty rate (per 1,000 live births) NUTRITION 4 Low birth weight incidence (%) Underweight prevalence (based on 2006 WHO reference population, %) Stunting prevalence (based on 2006 WHO reference population, %) Wasting prevalence (based on 2006 WHO reference population, %) Exclusive breastfeeding (0-5 months, %) Introduction of solid, semi-solid or soft foods (6-9 months, %) Household consuming adequately iodized salt (15 ppm or more, %) CHILD HEALTH 5 Diarrhoeal treatment - children receiving ORT and continued feeding (%) Malaria prevention - children sleeping under ITNs (%) Malaria treatment - febrile children receiving antimalarial medicines (%) MATERNAL AND NEWBORN HEALTH Antenatal care coverage at least one visit (%) Antenatal care coverage (4 or more visits, %) Skilled attendant at delivery (%) Early initiation of breastfeeding (%) WATER AND SANITATION 6 2010 (WHO/UNICEF JMP 2012) 2010 (WHO/UNICEF JMP 2012) EDUCATION Survival rate to last grade of primary school (survey data, %) Primary school net attendance ratio (survey data, %) CHILD PROTECTION Women aged 20-24 years who were married or in union by age 18 (%) Birth registration (%) Female genital mutilation/cutting (%) 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 29-May-12