Fulfilling the Health Agenda for Women and Children
The 2014 Report
São Tomé and Príncipe
DEMOGRAPHICS
Total population (000)
Total under-five population (000)
Births (000)
188
(2012)
31
(2012)
7
(2012)
Birth registration (%)
Total under-five deaths (000)
75
0
(2008-2009)
Neonatal deaths: % of all under-5 deaths
38
(2012)
Neonatal mortality rate (per 1000 live births)
Infant mortality rate (per 1000 live births)
20
38
(2012)
Stillbirth rate (per 1000 total births)
22
(2009)
Total maternal deaths
(2012)
(2012)
14
(2013)
100
(2013)
Total fertility rate (per woman)
4.1
(2012)
Adolescent birth rate (per 1000 girls)
110
(2006)
Lifetime risk of maternal death (1 in N)
Under-five mortality rate
Maternal mortality ratio
Deaths per 1000 live births
Deaths per 100,000 live births
120
600
104
450
90
53
60
300
35
30
MDG Target
0
1990
1995
2000
2005
2010
410
2015
Source: IGME 2013
210
150
100
0
1990
MDG Target
1995
2000
2005
2010
2015
Source: MMEIG 2014
Note: MDG target calculated by Countdown to 2015.
MATERNAL AND NEWBORN HEALTH
51
82
*Postnatal care
37
Exclusive
breastfeeding
Neonatal period
51
Measles
Birth
Infancy
60
80
40
60
0
20 40 60 80 100
Source: DHS, MICS, Other NS
Percent HIV+ pregnant women receiving ARVs for PMTCT
Uncertainty range around the estimate
20
92
0
82
81
79
80
2000
MICS
Percent
2006
MICS
-
Eligible HIV+ pregnant women receiving ART for
their own health (%, of total ARVs)
100
Pre-pregnancy
Pregnancy
72
Prevention of mother-to-child
transmission of HIV
Percent live births attended by skilled health personnel
Percent
Demand for family
planning satisfied
Antenatal care
(4+ visits)
Skilled attendant
at delivery
Skilled attendant at delivery
Percent
Coverage along the continuum of care
40
20
0
2008-2009
DHS
2010
Source: UNICEF/UNAIDS/WHO 2013
2011
2012
* See Annex/website for indicator definition
EQUITY
CHILD HEALTH
Socioeconomic inequities in coverage
Household wealth quintile:
Poorest 20%
Richest 20%
Demand for family
planning satisfied
Antenatal care
(1+ visit)
Immunization
Percent
60
40
20
Early initiation of
breastfeeding
0
1990
1995
ITN use among
children <5 yrs
Source: WHO/UNICEF 2013
DTP3
NUTRITION
Measles
2000
2005
Wasting prevalence (moderate and severe, %)
Low birthweight incidence (moderate and severe, %)
Vitamin A
(past 6 months)
100
80
60
75 60
47
40
20
0
2000
MICS
2012
2010
11
(2008-2009)
10
(2008-2009)
2008-2009
DHS
Early initiation of breastfeeding (within 1 hr of birth, %) 35
Introduction of solid, semi-solid/soft foods (%)
74
Vitamin A two dose coverage (%)
Underweight and stunting prevalence
Percent of children <5 years who are moderately or severely:
underweight
stunted
Careseeking
for pneumonia
Coverage levels are shown for the poorest 20% (red circles) and the richest
20% (orange circles). The longer the line between the two groups, the
greater the inequality. These estimates may differ from other charts due to
differences in data sources.
Percent
Percent
100
80
80
60
60
0
35
32
40
20
34
Percent of infants <6 months exclusively breastfed
100
0 10 20 30 40 50 60 70 80 90 100
Source: DHS 2008-2009
(2006)
(2008-2009)
Exclusive breastfeeding
15
1986
Other NS
10
2000
MICS
29
8
2006
MICS
32
14
2008-2009
Other NS
Percent
ORT & continued
feeding
160
Percent
80
Skilled attendant
at delivery
Percent of children <5 years with symptoms of pneumonia:
taken to appropriate health provider
receiving antibiotics
96
96
92
100
Antenatal care
(4+ visits)
Pneumonia treatment
Percent of children immunized:
against measles
with 3 doses DTP
with 3 doses Hib
with rotavirus vaccine
with 3 doses pneumococcal conjugate vaccine
56
60
2000
MICS
2006
MICS
51
40
20
0
2008-2009
DHS
(2012)
Imp
Fulfilling the Health Agenda for Women and Children
The 2014 Report
São Tomé and Príncipe
DEMOGRAPHICS
POLICIES
Causes of maternal deaths, 2013
Causes of under-five deaths, 2012
Preterm 10%
Pneumonia
14%
2%
Globally nearly
half of child
deaths are
attributable to
undernutrition
Neonatal
death: 38%
Other 23%
Sepsis 10%
Laws or regulations that allow adolescents
to access contraceptives without parental
or spousal consent
Regional estimates
for Sub-Saharan
Africa, 2013
Embolism 2%
Abortion 10%
Haemorrhage
25%
Asphyxia* 11%
Malaria 8%
Hypertension
16%
0%
9%
Indirect 29%
Diarrhoea
Injuries 7%
Source: WHO 2014
Measles 1%
* Intrapartum-related events
Source: WHO/CHERG 2014
** Sepsis/ Tetanus/ Meningitis/ Encephalitis
MATERNAL AND NEWBORN HEALTH
Antenatal care
Percent women aged 15-49 years attended at least once by a
skilled health provider during pregnancy
98
97
91
100
Percent
Demand for family planning satisfied (%)
51
(2008-2009)
Antenatal care (4 or more visits, %)
72
(2008-2009)
Malaria during pregnancy - intermittent preventive
treatment (%)
60
(2008-2009)
5, 7, 4
(2008-2009)
C-section rate (total, urban, rural; %)
80
(Minimum target is 5% and maximum target is 15%)
60
Neonatal tetanus vaccine
-
-
40
Postnatal visit for baby
-
-
37
(2008-2009)
-
-
(within 2 days for home births, %)
20
Postnatal visit for mother
0
(within 2 days for home births, %)
2000
MICS
2006
MICS
2008-2009
DHS
Women with low body mass index
(<18.5 kg/m2, %)
CHILD HEALTH
Diarrhoeal disease treatment
Malaria prevention and treatment
100
80
60
40
20
0
Percent children receiving first line treatment among
those receiving any antimalarial
Percent children < 5 years sleeping under ITNs
63
50
49
31
31
2000
MICS
2006
MICS
43 (2008-2009)
7
64
60
40
0
1
12
5
60
4
2
26
2006
MICS
2008-2009
DHS
Percent of population by type of sanitation facility, 1995-2012
Improved facilities
Shared facilities
Open defecation
Unimproved facilities
72
60
54
74
6
6
40
5
33
20
0
1995
Total
2012
Source: WHO/UNICEF JMP 2014
29
1995
Urban
20 3
39
13
2012 1995
Antenatal corticosteroids as part of
management of preterm labour
-
International Code of Marketing of
Breastmilk Substitutes
Partial
Community treatment of pneumonia
with antibiotics
-
Low osmolarity ORS and zinc for
management of diarrhoea
-
SYSTEMS
Costed national implementation
plan(s) for: maternal, newborn and
child health available
Rural
22
0
2012
-
-
Life Saving Commodities in Essential Medicine List:
Reproductive health (X of 3)
Maternal health (X of 3)
-
-
-
-
Newborn health (X of 4)
Child health (X of 3)
-
-
23.6
(2004)
-
-
144
(2012)
6
(2012)
52
(2012)
Density of doctors, nurses and
midwives (per 10,000 population)
-
General government expenditure
on health as % of total government
expenditure (%)
34
18
1995
2012
Total
68
48
66
80
5
6
5
3
41
24
2012
Urban
ODA to child health per child (US$)
112
(2011)
ODA to maternal and neonatal health
per live birth (US$)
234
(2011)
Note: See annexes for additional information on the indicators above
4
7
3
4
23
13
1995
No Data
External sources
General government expenditure
Out-of-pocket expenditure
Other
100
80
52
20
-
Reproductive, maternal, newborn
and child health expenditure by source
Improved sanitation coverage
9
54
54
Kangaroo Mother Care in facilities for low
birthweight/preterm newborns
Per capita total expenditure on
health (Int$)
23
2000
MICS
Percent
Percent
80
2
1
-
Out of pocket expenditure as % of total
expenditure on health(%)
Percent of population by type of drinking water source, 1995-2012
Piped on premises
Other improved
Surface water
Unimproved
19
-
Postnatal home visits in the first week
after birth
FINANCING
56
WATER AND SANITATION
100
Maternal deaths notification
National availability of Emergency
Obstetric Care services
42
2008-2009
DHS
Improved drinking water coverage
No
(% of recommended minimum)
100
80
60
40
20
0
Percent
Percent
Percent of children <5 years with diarrhoea:
receiving oral rehydration therapy/increased fluids
with continued feeding
treated with ORS
1
-
Maternity protection (Convention 183)
Congenital 5%
Sepsis** 7%
HIV/AIDS 1%
Legal status of abortion (X of 5 circumstances)
Midwives authorized for specific tasks
(X of 7 tasks)
Other direct
9%
Other 2%
-
1995
2012
Rural
Source: WHO/UNICEF JMP 2014
161