Lesotho - Health and Population Project

Document of The World Bank FOR OFFICIAL USE ONLY CA. /SrSXS Report No. 5437-LSO STAFF APPRAISAL RErORT LESOTHO HEALTH ANI POPULATION PROJECT April 1, 1985 Population, Health and Nutrition Department This document has a restricted distr-bulion and may be used b! recipients onh in the performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization.  CURRENCY EQUIVALENTS CURRENCY LUNIT Maloti US$1 M 1.98 1 Maloti US$0.51 FISCAL YEAR GOL Fiscal Year April 1 - March 31  FOR OMCIL USE ONLY ABBREVIATIONS AfOB - African Development Bank BCG - Bacillus Calmet Guerin CCCD - Combatting Childhood Communicable Diseases CPR - Contraceptive Prevalence Rate CRS - Catholic Relief Services CSO Central Statistics Office DFM - Decentralized Financial Management DHS - Director of Health Services DMOR - District Medical Officer of Health DPT - Diptheria, Pertussis, Tetanus EEC - European Economic Communities FNCO - Food and Nutrition Coordination Office GOL - Government of Lesotho RC - Health Clinic HEU - Health Education Unit HPSU - Health Planning and Statistics Unit USA - Health Service Area IEC - Information, Education and Communication IVS - International Volunteer Services LDA - Tesotho Dispensary Association LDTC - Lesotho Distance Teaching Center LFDS - Lesotho Flying Doctors' Service LFNC - Lesotho Food and Nutrition Council LPPA - Lesotho Planned Parenthood Association MCH/FP - Maternal and Child Health/Family Planning MOB - Ministry of Health Mow - Ministry of Works NC - Nurse Clinician NDSO - National Drug Stockpile Organization NHTC - National Health Training Center PCM - Protein-Calorie Malnutrition PHAL - Private Health Association of Lesotho PHC - Primary Health Care PVPS - Plant and Vehicle Pool Service QE II - Queen Elizabeth Hospital II RNI - Rate of Natural Increase RSA - Republic of South Africa SCF - Save the Childrcn Fund SOE - Statement of Expenditure STD - Sexually Transmitted Diseases TA - Technical Assistance TB - Tuberculosis TFR - Total Fertility Rate UNIPAC - United Nations Children's Fund Supply Division, Packing and Assembly Centre VJW - Village Health Workers WAHU - Ministry of Works Architects' Branch health Unit WDO - World Development Report WFP - World Food Program This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization.  DEFINITIONS Crude Birth Rate Number of births per 1,000 population in a given year. Crude Death Rate Number of deaths per 1,000 population in a given year. Rate of Natural Increase Rate at which a population is increasing (or decreasing) in a given year due to a surplus or deficit) of births over deaths, expressed as a percentage of the base population. Rate of Population Growth Rate of Natural increase adjusted for (net) migration, expressed as a percentage of the total population in a given year. Fertility Actual reproductive performance of an individual, a couple, a group, or a population. Total Fertility Rate Average number of children that would be born alive to a woman (or group of women) during her lifetime if she were to pass through her childbearing years conforming to the age- specific fertility rates of a given year. Incidence Number of cases of a given disease which come into being during a specified period of time, that is the frequency of events, usually expressed as the number of cases per specified unit (e.g., 1,000) population. Infant Mortality Rate Number of deaths of infants under one year of age in a given year per 1,000 live births in that year. Child Mortality Rate Number of deaths in children one to four years of age per 1,000 children one year of age in a given year. Life Expectancy at Birth Average number of years an infant will live if the current age-specific mortality trends prevailing at the time of birth were to continuiie. Contraceptive Prevalence The percentage of married women in the Rate reproductive ages who are using a modern method of contraception at any given point in time. This report is based on findings of an Appraisal Mission comprising Messrs. V. Kumar, H.W. Franckson, J.P. Mullan, Miss H. Idea (IDA) and Dr. M. Labbok (consultant) which visited Lesotho in September 1984. Mr. E.M. Schebeck participated in concluding discussions.  LESOTHO: HEALTH AND POPULATION PROJECT COUNTRY DATA AT A GLANCE1/ 1. Basic Area 30,350sq.km. Pepulation de facto (1983 estimate based on 1976 census) 1,400,000 (1991 estimate) 1,728,858 de jure (1983 estimate based or, 1976 census) 1,570,000 Population Density 46/sq .km. Rural populatior. 87% Crude birth rate 42/1000 Crude death rate 15.0/1000 Population growth rate 2.82/ Life expectancy at birth: male 51 years2/ female 55 yearst/ Infant mortality rate 97/1000 Maternal mortality ir institutions!l000 live births 3.7% Adult literacy rate 52% Primary school enrolme-t (grades 1-7 of age group 5-15 years) 48% GNP per capita (1983) US$510 Sex ratio, de jure) 93 ) males to 100 females de facto) 76 Childrer. below 5 (1983) 16% below 15 (1983) 41% Population density, lowlands 98/sq.km. highlar.ds 20/sq.km. 2. Geography and Topography Altitudes range 1,500-3,400m. Arable land 13% Rainfall, lowlacds 800 mm. p.a. highlands 1000 mm. p.a. Mear. maximum temperature, Maseru, January 300C Maseru, June 17