1
RWANDA HEALTH INDICATORS: PROGRESS 2010 (DHS and EICV )
SECTOR PERFORMANCE INDICATORS HSSP I + II and III, 2000 – 2010
Trends 2000 – 2010 (baseline) and targets for MDG (2015)
INDICATORS
Source of Information
DHS 2000
DHS 2005
I-DHS
2007-2008
DHS 2010
Rwanda
HMIS
Target
MDGs
2015
7.7M
8.6 M
9.31 M
?
58
28
107
196
37
86
152
28
62
103
10.4 M
54.2
27 (DHS)
50 (DHS)
76 (DHS)
1071
750
487 (DHS)
3.7 (Men)
3.3 (Women)
DHS
NA
287
6.5
4
5.5
27
NA
NA
Incidence of Malaria (/1,000) (HMIS 2011)
129
192
80
Incidence of TB (/100,000) (Source: WHO
2011 TB)
Prevalence of TB (/100,000) (Source: WHO
2011 TB)
Prevalence of raised blood pressure (%)
Prevalence of raised fasting blood glucose
(%)
TB detection rate (%) Source: WHO 2011
TB report)
286
162
123
4.6 (DHS)
45 (DHS)
3.0 (DHS)
150
(TRACnet )
61 (HMIS
2011)
106 (WHO)
4.5
70
0.5
NA
6.1
10
3.0
NA
361
192
143
128 (WHO)
IMPACT INDICATORS
Population (Million)
Life Expectancy at birth
Neonatal mortality rate
Infant Mortality Rate / 1000
Under Five Mortality Rate / 1000
Stillbirth rate (/1000 live births)
Maternal Mortality Ratio / 100.000
Adult mortality rate (/1000)
Age standardized mortality rates
Communicable diseases (/100000)
Non communicable diseases
Injuries
Total Fertility Rate (TFR %)
Modern Contraceptive Prev Rate (CPR)
HIV Prevalence Rate in 15-49 yrs (%)
Incidence of HIV (/100,000)
OUTCOME / OUTPUT INDICATORS
Prevalence of underweight (Wt/Age)
Prevalence of Stunting (Ht/Age)
Prevalence of Wasting (Ht/Wt)
% Overweight (women)
% 0-6 month children exclusively breastfeed
% Births attended in Health Facilities
% Delivery by caesarian section (national)
% U5 receiving Vit A supplements (HMIS)
25
30
NA
NA
26
48
61
60 (WHO)
NA
30
---
18
51
5
12
88
39
NA
NA
NA
NA
11 (DHS)
44 (DHS)
3 (DHS)
16.3 (DHS)
85 (DHS)
69 (DHS)
7.1 (DHS
2010)
15% (HMIS
2012)
108 (HMIS)
6
27
2.5
52
75
2
INDICATORS
Source of Information
DHS 2000
DHS 2005
I-DHS
2007-2008
94
13
75
76
96
24
80
90
% Children born with < 2.5 kg (low weight)
% Pregnant Women receiving 1 ANC visit
% Pregnant Women receiving 4 ANC Visits
% Children 12-23 months fully immunized
% Children< 1 yr immunized for Measles
% Children < 1Y immunized with DPT3
% children protected against tetanus at birth
# Districts with One Stop Centre (GBV)
% HC with youth friendly adolescent services
% unmet needs for contraception
HIV Prevalence among PW attending ANC
% Health Facilities with VCT services
% Health facilities with PMTCT services
%New born post natal care 23 hours
Malaria Prevalence Women / Children (%)
Malaria Prevalence in children (%)
% HH with at least one LLITN
% U5 sleeping under LLIN
% children under 5 years treated for malaria
within 24 years after lab confirmation
% TB Treatment Success Rate / DOTS
ART coverage among HIV patients (adults)
(TRACnet 2011-2012)
ART coverage among HIV children patients
(TRACnet 2011-2012
% HIV+ pregnant women receiving ART
prophylaxis
% Condom use among during the last sexual
intercourse
% Comprehensive knowledge HIV/AIDS
(women and men aged 15-49 years)
% TB/HIV patients receiving ART (Source:
TB & ORD annual reports)
# new cases of diarrheal Diseases (HMIS)
NA
61
NA
18
1,4
2.6
60
83
87
12
62
# trained Env Health Officers
Average OPD attendance / pp / yr (HMIS)
0,33
0,72
DHS 2010
Rwanda
HMIS
6.1 (DHS)
98 (DHS)
35 (DHS)
90
1992: 91
2000: 76
2005: 76
2008: 90
2010: 95
(DHS)
97 (DHS)
78 (DHS)
4 (HMIS)
8 (HMIS)
19 (DHS)
1.6 (Tracnet)
96.4
(TRACnet)
95.5
(TRACnet)
4.7 (DHS)
0.7 (DHS)
1.4 (DHS)
82 (DHS)
2005: 13
2008: 56
2010: 70
(DHS)
93 (HMIS)
87(HMIS)
92
(TRACnet)
87
(TRACnet)
95.4
(TRACnet)
66.2 (DHS)
56
(women)
52 (men)
(DHS)
67 (ORD
report)
148,400
(HMIS)
160 (Annual
report)
0,95 (HMIS)
Target
MDGs
2015
50
95
40
100
1%
100/100
0.5
1
90
88%
85
120,.00
0
400
1.1
3
INDICATORS
Source of Information
DHS 2000
% population with access to clean water
sources
% households using Improved, not shared
latrines
% Households using improved latrines
(shared and not shared)
% ORT Diarrhea treatment
% use of tobacco 15-49 years (cigarettes)
% use of tobacco among adolescents
14-19 Years
% Tobacco use among 13-15 years
% Alcohol consumption
INPUT INDICATORS
% of GOR budget allocated to health
Total Health expenditures per capita (USD)
% annual GOR expenditures on health
Total expenditures on Health as % of GDP
General GoR expenditures on health as % of
total expenditures on health
General GoR expenditures on Health as % of
total GoR expenditures
External resources for Health as % of total
expenditures on health
Social Security expenditures on health as %
of general GoR expenditures on health
Out-of-pocket expenditures (as % of total
health expenditures)
% Population covered by Community Based
Health Insurance
% Total population covered by any health
insurance scheme
Per capita allocation to PBF (USD)
DHS 2005
I-DHS
2007-2008
64
Target
MDGs
2015
74 (DHS)
55 (DHS)
71(DHS)
48 (46.5 at
home)
(DHS)
19 (DHS)
2 (DHS)
-
4 (NHA 2000)
9 (NHA
2003)
16.94 (NHA
2003)
9 (NHA
2003)
8.8 (NHA
2003)
32 (NHA
2003)
8.4 (NHA
2003)
42 (NHA
2003)
8 (NHA
2006)
33.93 (NHA
2006)
6.5 (NHA
2006)
11 (NHA
2006)
19 (NHA
2006)
6.5 (NHA
2006)
53 (NHA
2006)
11.5 (MTR
Aug 2011)
38.5 ( NHA
2009-2010)
9.8 ( NHA
2009-2010)
NA
NA
NA
NA
NA
-
44.1
85
91(CBHI
database)
96 (CBHI
database)
1.8 (Annual
report)
4.37 USD
(DHS)
3/village
(45,000)
(Annual
report)
1 / 16,001
1 / 1,291
1 / 44,584
331
(1/30,565)
10.4 (NHA
2000)
4.7 (NHA
2000)
4% (NHA
2000)
18 (NHA
2000)
4.7 (NHA
2000)
52 (NHA
2000)
-
91
NA
1.65
Out-pocket expenditures/patient (DHS)
# Community Health Workers (CHW/village)
Doctor / Pop Ratio
Nurse / Pop
Midwives / Pop Ratio
Pharmacists (MoH report 2010-2011)
DHS 2010
Rwanda
HMIS
NA
1 / 75.000
1 / 6.250
NA
1 / 50.000
1 / 3.900
NA
1 / 33.000
1 / 1.700
1 / 100.000
12
18 ( NHA
2009-2010)
13 (NHA
2009-2010)
63 ( NHA
2009-2010)
NA
91
96%
3/villag
e
(45,000
)
1/
15.000
1/
1.100
1/
4
INDICATORS
Source of Information
DHS 2000
DHS 2005
I-DHS
2007-2008
Lab Technician
Number of Environmental Health Officers
Source: MoH Single Action Plan 2012-2013,
Baselines
MORTALITY AND CAUSE SPECIFIC
MORTALITY AND MORBIDITY
U5 CHILDREN
% Stillbirth
% Sepsis
% Congeniral diseases
% Injuries
% HIV/AIDS
% Diarrhoea
% Measles
29.4
36.9
17.5
% Prematurity
% Pneumonia
Age standardized adult mortality rate
% mortality due to Cancer
% mortality due to cardiovascular diseases
% mortality due to diabetes
% mortality due to chronic respiratory
diseases
Mortality due to TB among HIV (neg)
people/100,000
NUMBER OF REPORTED CASES
Cholera
Diphteria* (WHO/UNICEF JRF data, 2010)
H5N1 influenza
Japanese encephalitis* (WHO/UNICEF JRF
data 2010)
Leprosy
Malaria U5 children
Malaria all ages
Target
MDGs
2015
1/10,626
160
50.000
2 (HMIS
2011)
Causes of death among U5 children
% Birth asphyxia
% neonatal tetanus
% Malaria
DHS 2010
Rwanda
HMIS
NA
0 (HMIS
2010, 2011)
NA
3 (HMIS
2011)
1 (HMIS
2011)
0.3 (HMIS
2011)
4 (HMIS
2011)
0 (HMIS
2010, 2011)
13.1 (HMIS
2011)
23 (HMIS
2011)
15 (HMIS
2011)
NA
NA
NA
NA
NA
17 (IDSR)
0
NA (IDSR)
Not reported
287,031
499,697
378,154
1,040,921
1,669,614
772,197
36 (TB/ORD,
HMIS)
141,454
(HMIS)
625,174
5
INDICATORS
Source of Information
DHS 2000
DHS 2005
I-DHS
2007-2008
DHS 2010
Rwanda
HMIS
Target
MDGs
2015
(HMIS)
31
0 (IDSR)
Not reported
0
Measles* (WHO/UNICEF JRF data, 2010)
Meningitis
MUMPS* (WHO/UNICEF JRF data, 2010
Neonatal tetanus* (WHO/UNICEF JRF data,
2010)
Yellow fever* (WHO/UNICEF JRF data,
2010)
TB (TB & ORD report)
0
6,768
(TB/ORD
report)
62
0
Rubella* (WHO/UNICEF JRF data, 2010)
Hib meningitis* (WHO/UNICEF JRF data,
2010)
Pertussis* (WHO/UNICEF JRF data, 2010)
0
Note: Where available, HMIS and TRACnet figures have been used for the outcome / output indicators.
* WHO/UNICEF JRF data for 2010
IDSR: Integrated Disease Surveillance and Response
HMIS: Health Management Information System
NHA: National Health Accounts (NHA 2009-2010 are preliminary results)
HEALTH EQUITY INDICATORS (DHS 2010)
Indicator
Rural
Urban
Non educ
2ndary
52.3
Lowest
quintile
38.5
Highest
quintile
49.6
% modern
contraceptive
prevalence
% Antenatal
care
% Assisted
deliveries in
HFs
Immunization:
% DTP3 (3
doses)
% U5 stunted
(height for age)
U5 mortality
ratio/1000 live
births
44.9
47
37.3
98
98.3
96.6
98.7
98.6
98.9
67.1
82
56.7
87.3
61
85.7
89.7
93.3
87
96.8
86.6
95.5
46.5
27.3
52
22.9
54
25.8
105
81
125
63
119
75
6
Socio-economic statistics (Source: Rwanda statistical yearbook 2011,
EICV, DHS 2010)
Indicator
Adolescent fertility rate (15-19 years)
Literacy rate
Net primary school enrolment
Population poverty (< 1 $/day)
Mobile phones owning
Crude birth rate/1000
Crude death rate/1000
% population living in urban areas
Annual population growth rate
Gross income per capita
Status
41/1000
Men: 82%
Women: 77%
Boys: 94.2%
Girls: 96.5%
46%
45.2%
NA
NA
2.8% (estimation from 2002 census)
540 $
Health Information System and Data availability: number of population
based surveys 2000-2011
Indicator
Child anthropometry
Child mortality
Maternal mortality
HIV prevalence
Adult health
Causes of death registry
Number of population surveys
2
3
3
2
4
11 (annual