Regional SRMNCAH factsheet: December 2020

RE G IO NA L SR M N C A H Fa ct sh ee t D ec em be r 2 02 0 Ba sic p ro fil e De m og ra ph ic Ba ng la de sh Bh ut an DP R Ko re a In di a In do ne sia M al di ve s M ya nm ar N ep al Sr i L an ka Th ai la nd Tim or - Le st e Re gi on al To ta l p o p ul a tio n6 5 16 4 68 9 00 0 77 2 00 0 25 7 79 0 00 1 38 0 00 4 00 0 27 3 52 4 00 0 54 1 00 0 54 4 10 0 00 29 1 37 0 00 21 4 13 0 00 69 8 00 0 00 1 31 8 00 0 2 02 1 38 7 00 0* To ta l u nd e r- 5 p o p ul a tio n6 5 14 3 28 0 00 64 0 00 1 74 6 00 0 11 6 88 0 00 0 23 6 58 0 00 36 0 00 4 50 9 00 0 2 70 7 00 0 1 66 0 00 0 3 59 6 00 0 17 8 00 0 16 9 36 2 00 0* To ta l a d o le sc e nt p o p ul a tio n (1 0– 19 ye a rs )6 5 30 6 74 0 00 13 6 00 0 3 56 1 00 0 25 2 20 2 00 0 46 3 03 0 00 59 0 00 9 91 7 00 0 6 12 0 00 0 3 38 6 00 0 8 49 2 00 0 30 7 00 0 36 1 15 7 00 0* W o m e n in re p ro d uc tiv e a g e g ro up (1 5– 49 y e a rs )6 5 46 2 16 0 00 20 8 00 0 6 48 5 00 0 35 7 41 1 00 0 72 0 21 0 00 11 4 00 0 15 0 82 0 00 9 02 9 00 0 5 32 4 00 0 17 1 77 0 00 32 5 00 0 52 9 39 2 00 0* A nn ua l n um b e r o f b irt hs 61 2 91 3 00 0 13 0 00 35 5 00 0 24 1 16 0 00 4 80 1 00 0 70 00 94 2 00 0 56 3 00 0 33 1 00 0 70 7 00 0 38 0 00 34 7 86 0 00 * To ta l f e rt ilit y ra te ( b irt hs p e r w o m a n) 14 ,4 1, 43 ,6 1 2. 3 2. 0 1. 9 2. 2 2. 4 2. 1 2. 1 2. 0 2. 2 1. 4 3. 9 2. 3* * A d o le sc e nt b irt h ra te (p e r 1 00 0 w o m e n a g e d 1 5– 19 ye a rs )1 4, 41 ,4 3, 61 83 28 1 51 36 10 36 63 21 23 42 50 ** Bi rt hs re g ist e re d ( % )1 4, 33 ,4 1, 61 56 10 0 10 0 86 78 99 81 77 97 10 0 60 83 ** So ur c e : 6 5 W o rld P o p ul a tio n Pr o sp e c ts 2 02 0 | 61 U ni te d N a tio ns P o p ul a tio n D iv isi o n 20 19 | 14 D e m o g ra p hi c a nd H e a lth S ur ve y | 41 M ul tip le In d ic a to r C lu st e r S ur ve y | 43 N a tio na l F a m ily H e a lth S ur ve y 6 1 U ni te d N a tio ns P o p ul a tio n D iv isi o n 20 19 | 33 M o ni to rin g p ro g re ss o n un iv e rs a l h e a lth c o ve ra g e a nd th e h e a lth -r e la te d S us ta in a b le D e ve lo p m e nt G o a ls in th e S o ut h- Ea st A sia R e g io n 20 19 * Su m m a tio n o f a ll 11 c o un tr ie s| ** T a rg e t p o p ul a tio n w e ig ht e d a ve ra g e M et ho d us ed fo r c al cu la tin g th e po pu la tio n w ei gh te d re gi on al a ve ra ge o f t he se in di ca to rs a nd th e co ve ra ge in di ca to rs in cl ud ed in th is pu bl ic at io n: St ep 1 : C al cu la te th e ab so lu te c ou nt ry v al ue : C o un tr y va lu e fo r t he in d ic a to r i s m ul tip lie d b y th e ta rg e t p o p ul a tio n o f t ha t c o un tr y, a nd d iv id e d b y 10 0 St ep 2 : C al cu la te re gi on al p op ul at io n w ei gh te d av er ag e: N um er at or = S um o f a b so lu te v a lu e s fo r a ll SE A R c o un tr ie s (f o r w hi c h th e d a ta is a va ila b le ); D en om in at or = T o ta l t a rg e t p o p ul a tio n o f a ll SE A R c o un tr ie s (f o r w hi c h th e d a ta is a va ila b le ); M ul tip lie d b y 10 0 to g e t t he p ro p o rt io n. 2 | Regional Factsheet C o un try p ro fil e Ba ng la de sh Bh ut an DP R Ko re a In di a In do ne sia M al di ve s M ya nm ar N ep al Sr i L an ka Th ai la nd Tim or -L es te Re gi on al G N I ( PP P) p e r c a p ita 63 51 90 10 5 70 N A 69 60 11 9 30 17 8 80 51 60 36 00 13 2 30 18 5 20 47 30 78 71 ** Pe rc e nt a g e o f p o p ul a tio n b e lo w in te rn a tio na l p o ve rt y lin e 19 –2 6 15 1. 5 N A 21 5 0 2 15 0. 8 0 31 17 ** Pe rc e nt a g e o f p o p ul a tio n us in g s a fe ly m a na g e d sa ni ta tio n se rv ic e s in c lu d in g a ha nd w a sh in g fa c ilit y w ith s o a p a nd w a te r1 4 N A N A N A N A N A 98 N A 65 N A N A 54 65 ** Im p ro ve d s a ni ta tio n1 4, 31 ,4 1 85 99 84 55 87 98 49 95 93 10 0 54 64 ** H a nd w a sh in g fa c ilit y w ith s o a p a nd w a te r1 4, 31 ,4 1, 43 75 73 10 0 60 93 98 84 81 N A 89 28 68 ** Pe rc e nt a g e o f p o p ul a tio n us in g sa fe ly m a na g e d d rin ki ng w a te r se rv ic e s1 4, 31 ,4 1 99 10 0 61 91 87 99 80 97 99 10 0 80 91 ** So ur c e : 6 3 W o rld B a nk , W o rld D e ve lo p m e nt In d ic a to rs 2 01 9 | 19 –2 6 G lo b a l H e a lth O b se rv a to ry - W o rld H e a lth O rg a ni za tio n (2 01 0– 20 18 ) | 14 D e m o g ra p hi c a nd H e a lth S ur ve y 31 Jo in t M o ni to rin g P ro g ra m m e fo r W a te r S up p ly , S a ni ta tio n a nd H yg ie ne 2 02 0| 41 M ul tip le In d ic a to r C lu st e r S ur ve y | 43 N a tio na l F a m ily H e a lth S ur ve y ** T a rg e t p o p ul a tio n w e ig ht e d a ve ra g e Regional Factsheet | 3 Im p a c t i nd ic a to rs 19 90 19 95 20 00 20 05 20 10 20 15 20 20 20 25 20 30 12 00 10 00 80 0 60 0 40 0 20 0 0 Ba ng la d e sh M ya nm a r Bh ut a n N e p a l D PR K o re a Sr i L a nk a In d ia Th a ila nd In d o ne sia Ti m o r- Le st e M a ld iv e s Re g io na l M at er na l m or ta lit y ra tio (p er 1 00 0 00 li ve b irt hs ) So ur c e : 4 8 T re nd s in m a te rn a l m o rt a lit y 19 90 to 2 01 5: e st im a te s b y W H O , U N IC EF , U N FP A , W o rld B a nk G ro up a nd th e U ni te d N a tio ns P o p ul a tio n D iv isi o n| 49 –5 9 T re nd s in m a te rn a l m o rt a lit y 20 00 to 2 01 7: e st im a te s b y W H O , U N IC EF , U N FP A , W o rld B a nk G ro up a nd th e U ni te d N a tio ns P o p ul a tio n D iv isi o n Fo r c a lc ul a tin g th e 2 03 0 p ro je c tio n fo r m a te rn a l m o rt a lit y ra tio w e h a ve u se d th e a nn ua l r a te o f r e d uc tio n b e tw e e n 20 10 a nd 2 01 7, a nd th e a ss um p tio n th a t a ll th in g s w ill re m a in a s in 2 01 7 66 52 5 43 8 35 5 28 0 21 4 16 5 15 2 G lo ba l S DG ta rg et M M R: 70 4 | Regional Factsheet 19 90 19 95 20 00 20 05 20 10 20 15 20 20 20 25 20 30 20 0 15 0 10 0 50 0 Ba ng la d e sh M ya nm a r Bh ut a n N e p a l D PR K o re a Sr i L a nk a In d ia Th a ila nd In d o ne sia Ti m o r- Le st e M a ld iv e s Re g io na l Un de r- 5 m or ta lit y ra te (p er 1 00 0 liv e bi rth s) So ur c e : 6 7 U N In te r- A g e nc y e st im a te s: L e ve ls a nd T re nd s in C hi ld M o rt a lit y Re p o rt s Fo r c a lc ul a tin g th e 2 03 0 p ro je c tio n fo r u nd e r- 5 m o rt a lit y ra te w e h a ve u se d th e a nn ua l r a te o f r e d uc tio n b e tw e e n 19 90 a nd 2 01 9, a nd th e a ss um p tio n th a t a ll th in g s w ill re m a in s a m e a s in 2 01 9 SD G ta rg et U 5M R: 25 11 9 10 1 83 67 56 43 32 19 Regional Factsheet | 5 19 90 19 95 20 00 20 05 20 10 20 15 20 20 20 25 20 30 Ba ng la d e sh M ya nm a r Bh ut a n N e p a l D PR K o re a Sr i L a nk a In d ia Th a ila nd In d o ne sia Ti m o r- Le st e M a ld iv e s Re g io na l N eo na ta l m or ta lit y ra te (p er 1 00 0 liv e bi rth s) So ur c e : 6 7 U N In te r- A g e nc y e st im a te s: L e ve ls a nd T re nd s in C hi ld M o rt a lit y Re p o rt s Fo r c a lc ul a tin g th e 2 03 0 p ro je c tio n fo r n e o na ta l m o rt a lit y ra te w e h a ve u se d th e a nn ua l r a te o f r e d uc tio n b e tw e e n 19 90 a nd 2 01 9, a nd th e a ss um p tio n th a t a ll th in g s w ill re m a in s a m e a s in 2 01 9 SD G ta rg et N M R: 12 10 0 80 60 40 20 0 53 47 41 34 29 24 20 14 6 | Regional Factsheet Mortality status with projections to 2030 Maternal mortality ratio in 2017 (deaths per 100 000 LB) MMR 2030 projection# Neonatal mortality rate in 2019 (deaths per 1000 LB) NMR 2030 projection# Under-five mortality rate in 2019 (deaths per 1000 LB) U5MR 2030 projection# Bangladesh 173 80 19 10 31 17 Bhutan 183 81 17 13 28 16 DPR Korea 89 37 10 7 17 12 India 130 63 22 17 34 20 Indonesia 177 77 12## 9 24 15 Maldives 53 22 5 2 8 3 Myanmar 250 99 22 17 45 31 Nepal 186 95 20 13 31 17 Sri Lanka 36 14 4 3 7 5 Thailand 37 15 5 3 9 5 Timor-Leste 142 64 20 13 44 26 SEA Region 152 66 20 14 32 19 Achieved SDG target for NMR, U5MR or EPMM target for MMR in the reported year Expected to achieve the SDG target for NMR, U5MR or EPMM target for MMR by 2030 Need to increase current efforts to achieve SDG target for NMR, U5MR or EPMM target for MMR by 2030 # Projections for the year 2030 calculated by applying ARR for 1990–2019 to the period 2019–2030 for NMR and U5MR (UNIGME); and applying ARR for 2010–2017 to the period 2017–2030 for MMR (MMEIG) ## NMR for Indonesia in 2019 is 12.4, so considered not to have achieved the SDG target MMR 2030 projection: For calculating the 2030 projection for maternal mortality ratio we have used the annual rate of reduction between 2010 and 2017, and the assumption that all things will remain as in 2017 NMR 2030 projection: For calculating the 2030 projection for neonatal mortality rate we have used the annual rate of reduction between 1990 and 2019, and the assumption that all things will remain same as in 2019 U5MR 2030 projection: For calculating the 2030 projection for under-5 mortality rate we have used the annual rate of reduction between 1990 and 2019, and the assumption that all things will remain same as in 2019 EPMM 2030 target: 2/3 reduction from baseline MMR of 2010 in each country and no country should have MMR >140 Regional Factsheet | 7 Regional stillbirth rate (per 1000 births) Source: 60UN IGME database 2019 2019 Regional 40 30 20 10 0 24 10 14 9 6 14 17 6 6 13 8 14 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia Regional adolescent (10–19 years) mortality rate (deaths per 100 000 adolescents) 2019 Regional 7 40 30 20 10 0 10 10 7 7 3 6 7 2 9 18 6 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 8 | Regional Factsheet Nutrition indicators Prevalence of LBWa Source: 14Demographic and Health Survey|41Multiple Indicator Cluster Survey|43National Family Health Survey|47The State of the World’s Children Reports 2019 aLow birth weight (LBW): Percentage of births with a reported birth weight <2.5 kilograms regardless of gestational age bWasting in under-5 children: Children whose Z-score is below minus two standard deviations (-2 SD) from the median of the reference population are considered thin (wasted), or acutely undernourished 2005–201614,41,43 2015–201914,41,43,47 Regional 40 30 20 10 0 15 % 26 % 12 % 10 % 3% 6% 18 % 22 % 13 % 11 % 8%9 % 12 % 12 % 11 % 9% 1 0%10 % 16 %17 % Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 7% 7% 16% Wasting in under-5 childrenb 2005–201614,41,43 2015–201914,41,43,47 Regional 40 30 20 10 0 10 % 10 % 6%6% 3% 5% 20 % 21 % 9% 11 % 7%8 % 12 % 11 % 8% 5% 24 % 19 % 15 % 15 % N A 14 % Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 18% Regional Factsheet | 9 cStunting in under-5 children: Children whose height-for-age Z-score is below minus two standard deviations (-2 SD) from the median of the reference population are considered short for their age (stunted), or chronically undernourished dUnderweight in adolescents: Percentage of adolescents aged 10–19 years with BMI <−2 SD of the median according to the WHO growth reference for school-age children and adolescents Underweight in adolescentsd Source: 2Comprehensive National Nutrition Survey|14Demographic and Health Survey|30Global School based Student Health Survey|41Multiple Indicator Cluster Survey|43National Family Health Survey |47The State of the World’s Children Reports 2019 2014–20182,30,47 Regional 40 30 20 10 0 14 % 15 % 5% 24 % 10 % 14 % 13 % 16 % 15 % 8% 11 % Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 20% Stunting in under-5 childrenc 100 80 60 40 20 0 28 % 42 % 8% 34 % 19 % 32 % 38 % 48 % 15 %19 % 29 % 35 % 32 %37 % 13 % 11 % 46 % 58 % 17 % 17 % N A 36 % Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 36% 2005–201614,41,43 2015–201914,41,43,47 Regional 10 | Regional Factsheet Source: 2Comprehensive National Nutrition Survey|14Demographic and Health Survey|30Global School-based Student Health Survey|43National Family Health Survey|47The State of the World’s Children Reports 2019 Prevalence of anaemia in women aged 15–49f 2015–201714,43 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia N A N A N A N A N A 41 % 47 % 63 % 53 % N A N A 100 80 60 40 20 0 53% 2015–201714,43 Regional Prevalence of anaemia among pregnant women Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia N A N A N A N A N A 62 % 50 % N A N A 100 80 60 40 20 0 57 % 46 % 51% eOverweight in adolescents: Percentage of adolescents aged 10–19 years with BMI > 1 SD of the median according to the WHO growth reference for school-age children and adolescents fHaemoglobin levels are shown in grams per decilitre (g/dl) (For non-pregnant women <12.0 g/dl and for pregnant women <11.0 g/dl) Overweight in adolescentse Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 40 30 20 10 0 9% 9% 22 % 5% 14 % 16 % 11 % 7% 12 % 20 % 11 % 7% 2014–20182,30,47 Regional Regional Factsheet | 1111 | Regional Factsheet Source: 25Global Health Observatory - World Health Organization 2017 Causes of under-5 deaths Prematurity Acute lower respiratory infections Birth asphyxia and birth trauma Congenital anomalies Diarrhoeal diseases Other communicable, perinatal and nutritional conditions Sepsis and other infectious conditions of the newborn Injuries Other noncommunicable diseases Meningitis/encephalitis Measles Tetanus HIV/AIDS Malaria 2.2% 2.1% 0.4% 0.3% 0.2% 3.7% Source: 69Global Burden of Disease study 2019 Causes of maternal deaths Maternal haemorrhage Indirect maternal deaths Other direct maternal disorders Maternal hypertensive disorders Late maternal deaths Maternal obstructed labour and uterine rupture Maternal sepsis and other maternal infections Maternal abortion and miscarriage Ectopic pregnancy Maternal deaths aggravated by HIV/AIDS 0.1% 2.5%3.6% 4.7% 4% 34.9% 18.1% 15.9% 10.8% 5.5% Source: 25Global Health Observatory - World Health Organization 2017 Causes of newborn deaths Prematurity Birth asphyxia and birth trauma Sepsis and other infectious conditions of the newborn Congenital anomalies Acute lower respiratory infections Other communicable, perinatal and nutritional conditions Meningitis/encephalitis Injuries Tetanus Diarrhoeal diseases Other noncommunicable diseases HIV/AIDS Malaria Measles 0.1% 0.9% 1.1% 0.7% 0.7% 0% 0% 0% 19.8% 12.9% 12% 5.3% 5.3% 41.5% 4.6% 26.3% 14.4% 12.3% 9.5% 8.7% 7.9% 7.6% 12 | Regional Factsheet Causes of adolescent deaths Top 5 causes of adolescent deaths (Male) 2 3 Drowning 5 Tuberculosis 4 Interpersonal violence Road injury Road injury 1 1 Source: 24Global Health Observatory - World Health Organization 2016 Self-harm 4 Maternal conditions 5 Tuberculosis 2 Self-harm 3 Drowning Top 5 causes of adolescent deaths (Female) Re g io na l Fa c tshe e t | 13 SRMNCAH policy survey Presence of key national policy/ guidelines on SRMNCAH at the national level BAN BHU DPR KOREA IND IDN MAV MMR NEP SRL THA TLS REGIONAL On family planning/contraception45            11/11 On sexually transmitted infections diagnosis, treatment and counselling45            10/11 On comprehensive national cervical cancer prevention and control45            10/11 On antenatal care45            11/11 On childbirth45            10/11 On postnatal care for mothers and newborns45            11/11 On management of low birth weight and preterm newborns45            11/11 On child health and development of children45            11/11 On early childhood development45            9/11 On integrated management of childhood illness45            11/11 On management of childhood pneumonia45            11/11 On management of childhood diarrhoea45            11/11 On management of malaria with appropriate recommendations for children45            10/11 On management of acute malnutrition in children45            11/11 On adolescent (10–19 years) health issues45            10/11 Multisectoral plan of action for violence against women45          0/11 On CAC/post-abortion care15            7/11  Yes  No Source: 45Reproductive, Maternal, Newborn, Child and Adolescent Health Policy Survey, 2019 |15Global Abortion Policies Database, 2017 * Policy Framework and National Plan of Action to address Sexual and Gender-based Violence (SGBV) in Sri Lanka  * 14 | Regional Factsheet Sexual, reproductive and maternal health Percentage of women of reproductive age (15–49) who have their need for family planning satisfied with modern methods Unmet need for family planning (total) Proportion of women aged 15–49 who received four or more antenatal care visits Proportion of women aged 15–49 who received two doses of tetanus Proportion of women aged 30–49 who report they were screened for cervical cancer (2019)66 • Bangladesh : Less than 10 • Bhutan : More than 50 but less than 70 • DPR Korea : 70 or more • India : 70 or more • Indonesia : Less than 10 • Maldives : 10 to 50 • Myanmar : Less than 10 • Nepal : 10 to 50 • Sri Lanka : More than 50 but less than 70 • Thailand : More than 50 but less than 70 • Timor-Leste : Less than 10 • Regional : 39 Source: 14Demographic and Health Survey|32Ministry of Health, National Health Survey|41Multiple Indicator Cluster Survey|43National Family Health Survey|47The State of the World’s Children Reports 2019 |66Global Health Observatory – World Health Organization 2019 100 80 60 40 20 0 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 78 % 77 % 85 % 85 % 9 0% 82 % 72 % 79 % 77 % 43 % 30 % N A 75 % 56 % 62 % 69 % 74 % 89 % 88 % 42 % 4 7% 14 % 14 % N A 12 % N A 7% 13 % 11 % 8% 28 % 31 % 16 % N A 27 % 18 % 7% 8% 6% 8% 31 % 25 % 13 % N A 2005–201614,41,43 2013–201914,41,43,47 Regional 2005–201614,41,43 2013–201914,41,43 Regional 12% 74% Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 73 % 90 % 84 % 8 9% 82 % 70 % 70 % 90 % 77 % 86 % 97 % 76 % 51 % 52 % 48 % 60 % 58 %60 % 39 % 25 % 37 % 37 % 51 % 77 % 8 2% 94 % 94 % 88 % 91 % 85 % 82 % 59 % N A N A 60 % 78 % 93 % 91 % 90 % 55 % 77 % 25 % N A 76 % 2005–201614,41,43 2012–201914,32,41,43 Regional2005–201614,41,43 2012–201914,32,41,43 Regional 77% 58% Regional Factsheet | 15 Proportion of births attended by skilled health personnel Institutional delivery Source: 14Demographic and Health Survey|32Ministry of Health, National Health Survey|41Multiple Indicator Cluster Survey|43National Family Health Survey |47The State of the World’s Children Reports 2019 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 100 80 60 40 20 0 44 % 59 % 6 5% 75 % 10 0% 10 0% 83 % 91 % 95 % 1 00 % 79 % 71 % 47 % 60 % 56 % 57 % 30 % 31 % 53 % 39 % 36 % 37 % 22 % 49 % 63 % 74 % 95 % 92 % 79 % 63 % 74 % 95 % 94 % 78 % 55 % 98 % 10 0% 99 % 99 % 99 % 10 0% 99 % 99 % 81 % 76% 82% 2005–201614,41,43 2012–201914,32,41,43 Regional 2005–201614,41,43 2012–201914,32,41,43 Regional C-section Proportion of women who have postpartum contact with a health provider within two days of delivery 100 80 60 40 20 0 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 40 % 19 % 36 % 12 % N A 13 % 13 % 9% 17 % 12 % 17 % 32 % 40 % 17 % N A 9% 15 % 24 % 33 % N A 2% 4 % 35 % 65 % 41 % N A N A N A 37 % 65 % 80 % 98 % 87 % 80 % 71 % 69 % 58 % 35 % 25 % N A N A 91 % 99 % 67 % 69% 19% 2005–201614,41,43 2013–201914,41,43 Regional 2005–201614,41,43 2012–201914,32,41,47 Regional 16 | Regional Factsheet Equity in coverage Source: 14Demographic and Health Survey|41Multiple Indicator Cluster Survey|43National Family Health Survey By wealth Poorest Richest FP satisfied with modern methods (%) FP unmet need (%) Contact with a health provider within two days of delivery (%) 74 67 75 8596 65 94 83 53 55 78 15 11 41 By geography FP satisfied with modern methods (%) FP unmet need (%) ANC 4+ visits (%) ANC 4+ visits (%) Two doses of tetanus (%) Two doses of tetanus (%) SBA (%) SBA (%) Institutional delivery (%) Institutional delivery (%) Contact with a health provider within two days of delivery (%) Rural Urban 75 73 11 12 52 71 83 82 90 78 86 70 66 77 By maternal education Contact with a health provider within two days of delivery (%) FP satisfied with modern methods (%) FP unmet need (%) ANC 4+ visits (%) SBA (%) Institutional delivery (%) No education Secondary education 72 75 13 11 5728 83 73 91 86 54 62 76 49 Two doses of tetanus (%) Regional Factsheet | 17 Newborn health Proportion of infants who were breastfed within the first hour of birth Skin-to-skin contact in the first hour of life Proportion of newborns who have postnatal contact with a health provider within two days of delivery Proportion of newborns who have home visits in the first week of life Source: 14Demographic and Health Survey|41Multiple Indicator Cluster Survey|43National Family Health Survey|46Socio-Economic, Demographic and Health Survey|47The State of the World’s Children Reports 2019 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 57 % 47 % 59 % 78 % 76 % 42 % 4 9% 57 % 64 % 67 % 43 % 18 % 25 % 67 % 49 % 80 % 90 % 82 % 75 % 42 % 40 % 34 % 45% Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 N A 5 % N A N A N A N A 62 % N A N A N A 27 % N A N A 60 % N A N A 16 % N A N A N A N A 8% 2016–201914,41 Regional 35% 2005–201614,41,43 2013–201914,41,43,47 Regional 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 40 % 67 % 87 % 99 % 80 % 79 % 67 % 82 % 69 % 91 % 99 % 58 % 30 % N A 36 % N A 27 % 37 % N A N A N A 31 % 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 2012–201441 201941 Regional 10 % 11 % N A N A N A N A N A N A N A N A N A N A N A N A 28 % N A N A N A N A N A N A N A 10% 40% 2005–201614,41,43,46 2013–201914,41,43,47 Regional 18 | Regional Factsheet Child health and development Percentage of children fully immunized Measles/MR vaccination at 9 months Source: 14Demographic and Health Survey|32Ministry of Health, National Health Survey|41Multiple Indicator Cluster Survey|43National Family Health Survey |47The State of the World’s Children Reports 2019 |62WHO vaccine-preventable diseases: monitoring system. 2020 global summary 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 2005–201714,32,41,43 2015–201914,41,43,62 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 84 % 8 9% 95 % 97 % 62 % 65 % 93 % 97 % 76 % 55 % 67 % 70 % 91 % 99 % 72 % 82 % 46 % 49 % 86 % 9 1% 97 % 92 % 99 % 98 % 81 % 80 % 79 % 95 % 89 % 98 % 77 % 8 5% 87 % 9 1% 97 % 89 % 9 4% 68 % 68 % 59 % 40 %44 % N A N A 66% 82% 2005–201614,41,43 2012–201914,32,41,43 Regional Percentage of infants <6 months who are fed exclusively with breast milk Vitamin A supplementation 6–59 months 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 2005–201414,41,43 2015–201814,41,43,47 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 56 % 63 % 49 % 51 % 89 % 71 % 55 % 42 % 52 % 48 % 64 % 51 % 57 % 6 2% 76 % 8 2% 52 % 23 % 14 % 50 % 62 % N A 79 % N A N A N A N A 90 % 60 % 61 % 80 % 75 % 48 % 56 % 54 % 58 % 55 % 51 % 65 % 90 % 86 % 18 % 24 % 46 % 55% 65% 2005–201614,41,43 2013–201914,41,43,47 Regional Regional Factsheet | 19 Introduction to semisolid or soft foods 6–8 months Percentage of children with diarrhoea receiving oral rehydration salts (ORS) Percentage of children with diarrhoea who received ORS and zinc Proportion of children with suspected pneumonia taken to an appropriate health provider Source: 14Demographic and Health Survey|41Multiple Indicator Cluster Survey|43National Family Health Survey |47The State of the World’s Children Reports 2019 (*) means figures that are based on fewer than 25 unweighted cases Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 73 % 72 % 74 % 61 % 85 % 74 % 51 % 39 % 26 % 36 % 44 % 60 %62 % 61 % 75 % 70 % 73 % 71 % 70 % 51 % N A N A Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 70 % 76 % 67 % 87 % 78 % 55 % 46 % 29 % 91 % 86 % 9 0% 69 % 75 % 74 % 86 % 85 % 8 9% 85 % 92 % 82 % 65 % 97 % 57% 51% 2005–201614,41,43 2013–201914,41,43,47 Regional 2005–201614,41,43 2013–201914,41,43,47 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 201441 2015–201914,41,43 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 100 80 60 40 20 0 36 % 35 % 45 % 42 % 29 % 40 % 18 % 18 % 15 % 46 % 74 % (* ) 74 % N A N A N A N A N A N A N A N A N A N A N A N A N A N A N A 80 % 78 % 69 % 75 % 92 % 69 % 58 % 78 % 82 % 58 % 52 % 80 % 71 % 71 % N A N A 18% 77% 2005–201614,41,43 2013–201914,41,43,47 Regional 20 | Regional Factsheet Source: 14Demographic and Health Survey|41Multiple Indicator Cluster Survey|43National Family Health Survey |47The State of the World’s Children Reports 2019 Antibiotic treatment for children with acute respiratory infection (ARI) symptoms Children have play things at homeg 100 80 60 40 20 0 100 80 60 40 20 0 2005–201614,41,43 2010–201914,41,43 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 2009–201641 2013–201914,41,47 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 60 % 67 % 52 % 52 % 47 % 59 % 48 % 72 % 59 % N A N A N A 66 % N A N A N A N A N A N A 76 % 80 % 40 % 74 % 63 % 49 % 88 % 39 % N A N A (* ) 34 % N A 21 % 13 % 34 % 43 % 41 % 49 % 48 % 75 % 70 % 45 % N A 44 % 28% 68% gChildren have play things at home: Percentage of children under age 5 who play with two or more types of playthings hChildren with inadequate supervision: Percentage of children under age 5 left alone or under the supervision of another child younger than 10 years of age for more than one hour at least once during the past week Children with inadequate supervisionh 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 12 % 11 % 14 % 14 % 17 % 6% 21 % 25 % 6% 5% 29 % N A N A N A N A N A N A N A N A N A 12 % N A 12% 2009–201641 2013–201914,41,47 Regional Regional Factsheet | 21 Adolescent health and development Physical activity (>1 hour/day) or prevalence of insufficient physical activity among adolescentsi Source: 30Global School based Student Health Survey Current tobacco use (any form)j N A N A 41 % 14 % 30 % 13 % 32 % 15 % 16 % 12 % 10 % N A N A 10 % 29 % 14 % 12 % 10 % 8% 9 % 1 4% 28 % Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 2007–201630 Regional 2007–201630 Regional 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 28% 12% Attempted suicidek Percentage of students who were in a physical fight one or more times during the 12 months before the surveyl 2007–201630 Regional 2007–201630 Regional 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia N A N A7 % 1 1% 4% 13 % 9% 1 0% 9% 13 % 9% 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 22 % 40 % 23 % 29 % 24 % 40 % 4 4% 26 % 29 % N A N A6% 25% iPhysical activity (>1 hour/day) or prevalence of insufficient physical activity among adolescents: Percentage of students aged 13–17 years had physical activity (>1 hour/day) or prevalence of insufficient physical activity among adolescents jCurrent tobacco use (any form): Percentage of students aged 13–17 years who currently used any tobacco products (used any tobacco products on at least 1 day during the last 30 days before the survey) kAttempted suicide: Percentage of students aged 13–17 years who seriously considered attempting suicide during the 12 months before the survey lPercentage of students who were in a physical fight one or more times during the 12 months before the survey: Percentage of students aged 13–17 years who were in a physical fight one or more times during the 12 months before the survey 22 | Regional Factsheet Source: 14Demographic and Health Survey |41Multiple Indicator Cluster Survey|43National Family Health Survey |47The State of the World’s Children Reports 2019 Percentage of women aged 20–24 who were married or in a union before age 18 Health system indicators Health financing Total expenditure on health, per capita (USD) General government expenditure on health as % of total government expenditure Source: 17Global Health Expenditure database 2015 |68Global Health Expenditure database 2018 201517 201868 Regional 201517 201868 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 1500 120 900 600 300 0 100 80 60 40 20 0 91 1 10 31 2 32 2 22 1 27 5 33 1 37 5 27 9 11 77 14 42 29 2 16 3 18 0 46 2 51 7 5 98 72 3 32 3 35 3 N A N A 3% 3% 10 % 8% 3% 3% 7% 9 % 19 % 21 % 5% 4% 5 % 5% 8% 8% 15 % 15 % 5% 5% N A N A 273 4% 100 80 60 40 20 0 Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 2012–201914,41,43,47 Regional 51 % 26 % 0. 1% 31 % 27 % 2% 16 % 33 % 29 % 20 % 15 % 29% Regional Factsheet | 23 Service delivery UHC service coverage index Source: 17Global Health Expenditure database 2015 |68Global Health Expenditure database 2018 Health workforce Source: 20–26Global Health Observatory - World Health Organization (2011–2018)|64World Health Statistics 2020 • 26 per 10 000 population availability of doctors, nurses, midwives versus 44.5 per 10 000 recommended in Global Strategy20–26 • 18 per 10 000 population availability of midwives and nurses versus 18 per 10 000 population in the South-East Asia Region64 Out-of-pocket health expenditure as % of total expenditure on health Source: Provisional calculation (2021) based on available data in DHS/MICS 2012–2019; Step surveys & Nationally reported data RMNCH service coverage index 2021 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 2021 Regional Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 49 % 6 4% 72 % 61 % 61 % 62 % 56 % 49 % 6 6% 82 % 55 % 64 % 86 % 91 % 76 % 8 6% 67 % 69 % 78 % 79 % 89 % 65 % 61% 78% Ba ng la d e sh Bh ut a n D PR K o re a In d ia M a ld iv e s M ya nm a r N e p a l Th a ila nd Ti m o r- Le st e Sr i L a nk a In d o ne sia 100 80 60 40 20 0 72 % 74 % 65 % N A N A 13 %2 0% 63 % 41 % 35 % 20 % 21 % 71 % 7 6% 59 % 51 % 49 % 51 % 13 % 11 % 7% 7% 54% 201517 201868 Regional 24 | Regional Factsheet Break-up of UHC coverage index of essential health services with RMNCH sub-index RMNCH Care-seeking behaviour of suspected pneumonia Child immunization coverage (DPT3) Pregnancy care Family planning coverage – satisfied needs Infectious disease control Access to basic sanitation Tuberculosis (effective) treatment coverage HIV antiretroviral therapy coverage Noncommunicable diseases Prevalence of normal blood pressure level in population age standardized Tobacco non-use Prevalence of normal fasting blood sugar level in population Service capacity and access Health worker density (Physician, pyc., surg.) Density of hospital beds, expressed as % of global threshold, 18/10 000 (proxy for basic hospital access) Health security IHR compliance Source: Provisional calculation (2021) based on available data in DHS/MICS 2012–2019; Step surveys & Nationally reported data 75% 97% 89% 75% 28% 97% 73% 100% 58% 51% 73% 61% 45% 78% 58% 64% 53%