Iraq: child health and development: country brief

Mortality and risk indicatorsTrend in under-5 mortality and neonatal mortality 1990–2018 Demographic data Young children at risk of poor development (%) Nutritional indicators 2005 2010 2015 0 15 30 45 60 0 15 30 45 60 28 28 28 40 224 000 total population 2.2% population growth NA birth registration Child health and development COUNTRY BRIEF Iraq Percentage of children under 5 who are: (per 1000 live births) 70.3% urban population 0 10 20 30 40 Under-5 mortality/ 1000 30 17 10.4 15.5 Neonatal mortality/ 1000 Live births preterm birth rate/100 Live births stillbirth/ 1000 live births 0 6 1 2 1 8 2 4 Stunted 22.6 7.4 11.8 Wasted Overweight Obese 0 15 30 45 60 54 26 44 24 35 20 27 15 Under-5 mortality Neonatal mortality 0 10 20 30 40 0 6 12 18 24 = 1 000 000 50% reduction in under-5 mortality 1990–2018 Child and Adolescent Health Unit Department of Healthier Populations of neonatal deaths as % of under-5 deaths 5 380 000 under-5 population 13.4% 56% 1990 2000 2010 2018 NA = Not available Causes of death for children under 5 (%) Causes of neonatal mortality (%) Coverage of essential interventions across the continuum of care (%) Financing Health information systems (HIS) Policies Quality of care 0.5 2.2 0.2 National policy/guideline to improve quality of care in health services addressing Quality care standards and protocols for delivery of services developed for 15.2 21.4 14.17.2 14.2 5.3 7.3 8.6 5.6 33.5 23.4 12.5 17.2 4.0 6.0 Exclusive breastfeeding Skilled birth attendance Postnatal care Early initiated breastfeeding Pneumococcal conjugate vaccine (PCV3) Rotavirus vaccine Diphtheria, tetanus, and pertussis (DTP3) Vitamin A Measles vaccine Pneumonia care seeking Pneumonia antibiotics Oral rehydration treatment (ORT) Indoor air pollution (% of households using solid fuel) Coverage of IMCI Access to improved drinking water 0 20 40 60 80 100 91.5 38 32.4 33 85 63 27.5 85 74.4 67.1 34 1.2 61 87 39.7% Out-of-pocket expenditure as% of total expenditure on health 6.5% General government expenditure on health as % of total expenditure 192.1 Gross domestic product (GDP)(current US$ in billions) 292 Total expenditure on health, per capita (US$ exchange rate) 5 018 GDP, per capita (current US$) Newborn health? Child health? Pneumonia Prematurity Birth asphyxia/trauma Sepsis and other infections Congenital anomalies Diarrhoeal diseases Meningitis/encephalitis Injuries NCDs Other National HIS report on number or rates ofIs the national HIS able to present data disaggregated by age? Free access to health services in the public sector for Newborns Pregnant women Children under 5 Causes of newborn death Cause of death among children under 5 Preterm newborns Still- births Newborn deaths Deaths among children under 5 Live births Community treatment of pneumonia (guideline or national policy) Community treatment of diarrhoea (use of community-based health providers) Implementation of Integrated Management of Childhood Illness (IMCI) Discharge mother and baby after 24 hours following childbirth Antenatal cortico- steroids Low osmolar ORS and zinc Kangaroo mother care Postnatal care Basic neonatal resuscitation Maternity protection Code of marketing PARTIAL 1.3 Data not available for all indicators References Demographic data - World Population Prospects 2019 - UN Population (https://popula- tion.un.org/wpp/DataQuery/). - Framework for health information systems and core indicators for monitoring health situation and health system performance 2018. Cairo: WHO Regional Office for the Eastern Mediterranean; 2019. - Global Database/Birth Registration Data 2017 - UNICEF (https://da- ta.unicef.org/topic/child-protection/birth-registration/). Child health and nutrition indicators - Framework for health information systems and core indicators for monitoring health situation and health system performance 2018. Cairo: WHO Regional Office for the Eastern Mediterranean; 2019. - Strategy on nutrition for the Eastern Mediterranean Region 2020–2030. Cairo: WHO Regional Office for the Eastern Mediterra- nean; 2019. Mortality & risk indicators - Framework for health information systems and core indicators for monitoring health situation and health system performance 2018. Cairo: WHO Regional Office for the Eastern Mediterranean; 2019. - WHO global preterm birth estimates - 2014 (ptb.srhr.org). - WHO Global Health Observatory Data Repository - 2015 (https://apps.who.int/gho/data/view.main.GSWCAH06v). - Strategy on nutrition for the Eastern Mediterranean Region 2020–2030. Cairo: WHO Regional Office for the Eastern Mediterranean; 2019. Causes of death (%) - WHO Global Health Observatory Data Repository -2017 (http://apps.who.int/gho/data/viewmain.ghe1002015 -CH13?lang=en). Young children at risk of poor development/lifetime cost of growth deficit in early childhood - Thrive Country Profiles - Nurturing Care 2019 (https://nurturing- care.org/resources/country-profiles/). Policies - Reproductive, Maternal, Newborn, Child and Adolescent Health Policy Survey 2018. Geneva: WHO; 2018. - Ratifications of C183 - Maternity Protection Convention, 2000 (No. 183) (https://www.ilo.org/dyn/normlex/en/f?p=NORMLEX- PUB:11300:0::NO:11300:P11300_INSTRUMENT_ID:312328:NO). - Marketing of Breast-milk Substitutes: National Implementation of the International Code, status report 2018 (https://apps.who.in- t/iris/bitstream/hadle/10665/272649/ 9789241565592-eng.pd- f?sequence=1&isAllowed=y). - Maternal and newborn, child and adolescent health policy indica- tors (https://www.who.int/test/forms/mncah/). Coverage of essential interventions across the continuum of care (%) - Framework for health information systems and core indicators for monitoring health situation and health system performance 2018. Cairo: WHO Regional Office for the Eastern Mediterranean; 2019. - Demographic and household survey and multiple indicator cluster survey data extracted from UNICEF Maternal & Newborn Health Coverage Database 2018 (https://data.unicef.org/topic/mater- nal-health/newborn-care/). - Infant and Young Child Feeding (https://data.unicef.org/topic/nutri- tion/infant-and-young-child-feeding/#data). - WHO-UNICEF estimates of RotaC coverage (http://apps.who.in- t/immunization_monitoring/globalsummary/timeseries/ tswucov- eragerotac.html). - Global Health Observatory data repository (apps.who.int/gho/- data/view.main.1600?lang=en). Equity - Equest- UNICEF (http://www.equist.info/). Quality of care/health information system/financial protection policies - Reproductive, Maternal, Newborn, Child,and Adolescent Health Policy Survey 2018. Geneva: WHO; 2018. Financing - The World Bank - DataBank (https://databank.worldbank.org/data/- source/world-development-indicators). - Framework for health information systems and core indicators for monitoring health situation and health system performance 2018. Cairo: WHO Regional Office for the Eastern Mediterranean; 2019. © World Health Organization 2020 Some rights reserved. This work is available under the Creative Commons Attribution- NonCommercialShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/ by-nc-sa/3.0/igo). Iraq child health and development country brief WHO-EM/CAH/211/E