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SAHR 2007 - Health Systems Trust

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<strong>Health</strong> and Related Indicators 15<br />

Table 59: National values for the MDG Indicators<br />

International Indicators – Millennium Development Goals<br />

Indicator<br />

Available<br />

baseline<br />

Current data<br />

No. a Name Year Value Year Value Range<br />

4 Underweight (%) 1994 9.3 [8.5-10.1] b 1999 11.1 [9.7-12.5] c 4.7<br />

13 Under 5 mortality rate 1990 60 d 1998 SADHS e 61 39 (WC) - 81 (EC)<br />

43 (urban) - 71 (rural)<br />

2000 BoD f 94.7 46 (WC) - 116 (KZN)<br />

2003 SADHS 57.6 33 (KZN) g - 79 (EC)<br />

<strong>2007</strong> ASSA h 70.9 39 (WC) - 93 (KZN)<br />

14 Infant mortality rate 1990 45 d 1998 SADHS 45.0 17 (highest asset quintile)<br />

61.6 (lowest asset quintile)<br />

33 (urban) - 53 (rural)<br />

2000 BoD 59.1 32 (WC) - 71 EC)<br />

2003 SADHS 42.5 29 (NC) - 68 (EC)<br />

<strong>2007</strong> ASSA 46.1 25(WC) - 60 (EC)<br />

15 Measles 1st dose coverage 1990 79 d 2006 DHIS 85.8 73 (NW) - 100 (WC)<br />

16 Maternal mortality ratio (MMR) 1990 230 d 1998 SADHS 150 38<br />

2003 i 110 70 (WC) - 234 (FS)<br />

17 Births assisted by trained health personnel 1998 84 2003 SADHS 92.0 79 (no education)<br />

97 (post Gr12)<br />

17* ANC coverage 1998 94.2 2003 SADHS 91.7<br />

17* Delivery rate in facility 2006 DHIS 78.3 65 (EC) - 92.4 (WC)<br />

18 HIV prevalence (%) (antenatal) age 15-24 1990 0.7 2006 (SA) j 23.1<br />

19 Condom use rate of the contraceptive prevalence rate 2003 SADHS 7.8<br />

19a Condom use at the last high-risk sex, female 2003 SADHS 52.4<br />

19b* HIV knowledge, people who know that a person can protect<br />

herself from HIV infection by condom use<br />

19c<br />

Contraceptive prevalence rate (any method), currently<br />

married women<br />

2005 43.9 k<br />

2003 SADHS 71.2<br />

83.4<br />

2005 l 89.0<br />

1990 48.4 m 2003 SADHS 60.3<br />

20 AIDS orphans 2000 158 073 h <strong>2007</strong> ASSA h 1 201 675<br />

21 Case fatality rate: malaria 2006 Notification n 0.7<br />

21* Reported cases of malaria (per 100 000) 1990 6822 cases 2006 Notification 25.9<br />

22 Access to malaria treatment within 24 hours 2003 80<br />

23 Tuberculosis prevalence rate per 100 000 population 1990 735 o 2005 511 o Wide variation p<br />

23 Tuberculosis death rate per 100 000 1990 89 o 2005 71 o Wide variation<br />

female<br />

male<br />

2005 q 158 78 (LP) - 236 (KZN)<br />

2005 r 64 30 (LP) - 96 (FS)<br />

23* Incidence of TB (all types) (per 100 000) 1999 360 s 2006 722.4 s 305 (LP) - 1076 (KZN)<br />

24 Tuberculosis, DOTS detection rate (%) 1997 6 d 2005 d 103<br />

24 Tuberculosis, DOTS treatment success (%) 1996 69 d 2004 d 70<br />

24 Cure rate (new Sm+ cases) 1996 54 s 2005 57.6 s<br />

30 Proportion of population with sustainable access to an<br />

improved water source<br />

1990 83 d 2004 88 d 73 (rural) - 99 (urban)<br />

30* Percentage of households with access to piped water 2006 GHS t 85.8 67.4 (EC) - 98.9 (WC)<br />

31 Proportion of people with access to improved sanitation 1990 63 d 2004 65 d 46 (rural) - 79 (urban)<br />

31* Percentage of households with no toilet 2006 GHS 9.5 u 3.2 (FS) - 24.3 (EC)<br />

Target<br />

(2015)<br />

20<br />

15<br />

a Indicators marked with stars are not MDG indicators but have been<br />

included as proxy measures.<br />

b SAVACG Survey. Data are for age group 6-71 months, not under 5<br />

years.<br />

c Food Consumption Survey. Data are for age group 12-71 months.<br />

d Millennium Development Goals. Downloaded from database.<br />

e SADHS 2003 (Preliminary).<br />

f Burden of Disease Prov 2000.<br />

g This low value for KZN does not seem plausible based on comparison<br />

with other data sources and other health outcome indicators for the<br />

province.<br />

h ASSA 2003.<br />

i Maternal Deaths 2003.<br />

j Antenatal Survey 2006.<br />

k HIV Household Survey 2005. Data for male and female respondents<br />

age 15 years and older.<br />

l HIV Household Survey 2005.<br />

m Pop and Repro Indicators 2005.<br />

n DoH Notification System. Note that death notification data (StatsSA<br />

Causes of death 2005) records 644 deaths from malaria in 2005<br />

compared to 64 deaths recorded by the Notifiable disease system,<br />

therefore it is likely that there is substantial under-reporting of malaria<br />

statistics.<br />

o Global TB Database.<br />

p The values reported in the Global TB database are substantially different<br />

to those reported in the Millennium Development Goals database.<br />

329

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