Countdown to 2015: Tracking Progress in Maternal, Newborn and Child Survival

Countdown to 2015 Nigeria Maternal, Newborn & Child Survival March 2012 DEMOGRAPHICS Total population (000) 158,423 Under-five mortality rate 200 Deaths per 1000 live births Maternal mortality ratio Deaths per 100.000 live births Total under five population (000) 26,569 Births (000) 6,332 Birth registration ) 30 200s 250 1200 0 213 Total under-five deaths (000) 861 (2010 100 200 1000 840 Neonatal deaths: % of all under S deaths 29 143 800 150 Neonatal mortality rate (per 1000 live births) 40 nug (2010 600 Infant mortality rate (per 1000 live births) 100 71 400 Stilbirth rate (per 1000 total births) 42 (200 50 200 275 MDG Target Total maternal deaths 50,000 (200 MDG Target Lifetime risk of maternal death (1 in N) 23 (200 Total fertiity rate (per woman) 5.5 1990 1995 2000 2005 2010 2015 1990 199s 2000 2005 2008 2015 Da Source: IGME 2011 Source: MMEIG 2010 Adolescent birth rate (per 1000 women) 123 (200 Nete: MDG target calodatedby Coundown to 2015 MATERNAL AND NEWBORN HEALTH Prevention of mother-to-child transmission of HIV Coverage along the continuum of care Skilled attendant at delivery Percent live births attended by skilled health personnel Demand for family planning satisfied tigible HIV+ pregnant women receiving ART for the ir oun health ( of total ARV 29 100 26 (2010) Pre-pregnancy I Antenatal care (4+ visits) 45 Percent HIV+ pregnant women receiving ARVS for PMTCT 80 Pregnancy E Uncertainty range around the estimate Skilled attendant at delivery Birh 60 20 *Postnatal care 38 42 35 39 15 -14 Neonatal period 40 - 11 31 Exclusive breastfeeding 13 10 Infancy 20 Measles 71 <1 O 20 40 60 80 100 Percent 1990 1999 2003 2008 2005 Source: UNICEF/UNAIDS/WHO 2008 2009 2010 DHS DHS DHS DHS Source: DHS, MICS, Other NS See Anne/webie for indicator defintion EQUITY CHILD HEALTH Socioeconomic inequities in coverage Pneumonia treatment Immunization - Percent of children immunized against measles - Percent of children immunized with 3 doses DTP - Percent of children immunized with 3 doses Hib Percent children <5 years with suspected pneumonia taken to appropriate health provider Percent children <5 years with suspected pneumonia receiving antibiotics Household wealth quintile: O Poorest 20% O Richest 20% Demand for family planning satisfied Antenatal care 1+ visit 100 100 80 80 Antenatal care 4+ visits 60 60 45 37 33 Skilled birth attendant 40 40 23 23 20 20 Early initiation of breastfeeding ITN use among 1990 2003 200 1990 1995 2000 2005 2010 DHS DHS DHS children 5 yrs Source: WHO/UNICEF DTP3 NUTRITION Measles Wasting prevalence (moderate and severe, ) 14 (200 Early initiation of breastfeeding (within 1 hr of birth, N) 38 (200 Low birthweight incidence (moderate and severe, K) 12 (200 Introduction of solid, semi-solid/soft foods (N) 76 (200 Vitamin A (past 6 months) Vitamin A two dose coverage (N) 91 (200 ORT & continued feeding Underweight and stunting prevalence - Percent children <5 years who are underweight IPercent children <5 years who are stunted Exclusive breastfeeding Percent infants <6 months exclusively breastfed Careseeking for pneumonia 100 100 O 10 20 30 40 50 60 70 80 90 100 Percent 80 80 DHS 2008 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 dfer from other charts due to ditferences in data sources. 60 60 51 43 41 35 40 27 27 17 17 20 - 20 13 Developed by Countdown to report on core indicators identified by the UN Commission on Information and Accountability, in support of the Global Strategy for Women's and Children's Health 2003 1990 DHS 2008 DHS 1990 DHS 1999 DHS 2003 DHS 2008 DHS DHS Note: Baned on 2006 WHO reterence population