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Indonesia

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH


Total population (000) 228,864 (2006) Under-five mortality rate Causes of under-five deaths Causes of maternal deaths Coverage along the continuum of care
Deaths per 1000 live births Globally more than one third of child deaths are attributable to Regional estimates for Asia, 1997-2002
Total under-five population (000) 21,720 (2006) undernutrition
Unmet need for family planning (%) 9 (2002-2003) Abortion
Births (000) 4,427 (2006) Measles Injuries Malaria Causes of neonatal
Contraceptive
3% 1% deaths Obstructed labor 6% 57
100 91 5% Diarrhoea 1% Antenatal visits for woman (4 or more visits, %) 81 (2002-2003) prevalence rate Pre-pregnancy
Birth registration (%) 55 (2006) Pneumonia HIV/AIDS Tetanus 1% 9%
Congenital 6% Antenatal visit
Under-five mortality rate (per 1000 live births) 34 (2006) 80 14% 0% (1 or more) 92 Pregnancy
Other 8% Intermittent preventive treatment for malaria (%) --- Hypertensive Haemorrhage
Sepsis/ Skilled attendant
Infant mortality rate (per 1000 live births) 26 (2006) disorders 31% 72 Birth
60 Pneumonia 20% C-section rate (total, urban, rural; %) 9%
at birth
Neonatal mortality rate (per 1000 live births) 18 (2000) Neonatal (Minimum target is 5% and maximum target is 15%) 4,7,2 (2002-2003)
34 *Postnatal care Neonatal period
Total under-five deaths (000) 151 (2006) 40 30 38% Asphyxia 28%
Sepsis/Infections,
Early initiation of breastfeeding (within 1 hr of birth, %) 39 (2002-2003) including AIDS
Exclusive
40 Infancy
Maternal mortality ratio (per 100,000 live births) 420 (2005) 20 Diarrhoea breastfeeding
MDG Target 12%
97 (2005)
18% Postnatal visit for baby (within 2 days for home births, %) --- Other causes Measles
Lifetime risk of maternal death (1 in N) Preterm 36% Anaemia 72
0 Other
13% 21%
Total maternal deaths 19,000 (2005) 1990 1995 2000 2005 2010 2015 22%
Source: Lawn JE, Cousens SN for
0 20 40 60 80 100
Source: UNICEF, 2006 Source: WHO, 2006 CHERG (Nov 2006) Source: Khan, Khalid S., et al, Lancet 2006:367:1066-74 Source: DHS, MICS, Other NS
*See Annex for indicator definition

Antenatal care Skilled attendant at delivery Neonatal tetanus protection


INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN Percent women aged 15-49 years attended at least once by a Percent live births attended by skilled health personnel Percent of newborns protected against tetanus

NUTRITION skilled health provider during pregnancy

Stunting prevalence (moderate and severe, %) --- Complementary feeding rate (6-9 months, %) 75 (2002-2003) 100 92 100 100
89 83
82
Wasting prevalence (moderate and severe, %) --- Low birthweight incidence (%) 9 (2002-2003) 80 76 80 80
67 64 68 66 72
Underweight prevalence Exclusive breastfeeding Vitamin A supplementation 60 60 50
56 56 60

Percent

Percent

Percent
Percent children < 5 years underweight for age* Percent infants < 6 months exclusively breastfed Percent children 6-59 months receiving vitamin A doses 41 43
40 40 36 37 40
32
At least one dose Two doses
100 100 100 20 20 20
82
76
80 80 80 71 73 0 0
64 61 62 1987 1999 1991 1994 1995 1997 1998 1999 2000 2001 2002 02-03 2004
1980 1985 1990 1995 2000 2006
76 1991 1994 1997 2002-2003 Other NS Other NS DHS DHS Other NS DHS Other NS Other NS Other NS Other NS Other NS DHS DHS
60 60 60 73
68 63
DHS DHS DHS DHS
Percent

Percent

Percent
Source: WHO/UNICEF
45 62
42 40 57
40 40 37 40
27
23
20 20 20 WATER AND SANITATION EQUITY
0
0 0 0
1995 2003 1991 1994 1997 2002-2003 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
Other NS Other NS DHS DHS DHS DHS
Source: UNICEF
Percent population using improved drinking water sources Percent population using improved sanitation facilities
*Based on 2006 WHO reference population Rural Urban Total Rural Urban Total
100 92 100 100
CHILD HEALTH 87
77
80 72 80 73 80
69 65
63
Immunization Malaria prevention Prevention of mother to child 60 60 55 60

Percent

Percent

Percent
Percent of children immunised against measles 46
Percent of children immunised with 3 doses DPT
Percent children < 5 years sleeping under ITNs* transmission of HIV 37 40
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 40 40
Percent of children immunised with 3 doses Hib
20 20 20
100 100 10
0 0 0
80 72 80 8 1990 2004 1990 2004 Poorest 2nd 3rd 4th Wealthiest
Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
60 70 60 6 1997 2003
Percent
Percent

Percent

DHS DHS
40 40 4 POLICIES SYSTEMS
2
20 20 2
0.8 Coverage gap (%) 30 27
0.1 0.2 International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 0 0 Substitutes Partial Ratio
1990 1995 2000 2005 2006 2000 2004 2005 2006 Per capita total expenditure on health (US$) 118 (2007) poorest/wealthiest 2.7 2.4
Source: WHO/UNICEF MICS Other NS Other NS Other NS
New ORS formula and zinc for management of Difference
*Sub-national risk of malaria transmission General government expenditure on health as
diarrhoea Yes poorest-wealthiest (%) 27 22
% of total government expenditure (%) 5 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials* Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics No Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 49 (2007)
IMCI adapted to cover newborns 0-1 week of age Yes
antibiotics
Density of health workers (per 1000 population) 1.0 (2003)
100 100 100 Costed implementation plan(s) for maternal,
newborn and child health available No Official Development Assistance to child health
80 80 80 per child (US$) 1 (2005)
64 69 Midwives be authorised to administer a core set of
Indonesia
61 63 61
60 56 60 60 life saving interventions Partial Official Development Assistance to maternal and
Percent

Percent

Percent

neonatal health per live birth (US$) 3 (2005)


40 37 37 40 40 Maternity protection in accordance with ILO
Convention 183 No National availability of Emergency Obstetric Care
20 20 20 services (% of recommended minimum) ---
4 1 Specific notification of maternal deaths No
0 0 0
1994
DHS
1997
DHS
2000
MICS
2002-2003
DHS
2000
MICS
2002-2003
DHS
1991
DHS
1994
DHS
1997
DHS
2002-2003
DHS
Countdown to 2015
*Sub-national risk of malaria transmission 2008 Report

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