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PUBLIC HEALTH REPRODUCTIVE HEALTH & HIV WATER SANITATION & HYGIENE NUTRITION & FOOD SECURITY UNHCR PUBLIC HEALTH 2014 ANNUAL REGIONAL OVERVIEW EAST, HORN & SOUTHERN AFRICA

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  • PUBLIC HEALTH

    REPRODUCTIVEHEALTH & HIV

    WATERSANITATION

    & HYGIENE

    NUTRITION &FOOD SECURITY

    UNHCR PUBLIC HEALTH 2014 ANNUAL REGIONAL OVERVIEWEAST, HORN & SOUTHERN AFRICA

  • .25 4.8 99%

    Djibouti

    .50 1.7 98%

    Kenya

    .21 1.6 97%

    Zambia

    .65 1.4 96%

    Eritrea

    .28 1.3 85%

    Ethiopia

    .54 2.2 87%

    South Sudan

    .21 2.7 NR

    Uganda.68 2.670%

    Namibia

    .50 2.7 NR

    Sudan

    Public Health

    D I S E A S E P R O F I L E U N D E R - F I V E M O R TA L I T YDeaths/1,000/month (lowest-highest rates)

    2014 EAST, HORN AND SOUTHERN AFRICA

    2010 2011 2012 2013 2014 2015

    Million ($)

    30

    50

    20

    10

    0

    40

    Proportion of OL-budget

    8.8%

    8.9% 9.6%10.5%

    7.6%

    Re g i o n a l a l l o c a ti o nP u b l i c H e a l t h

    .51 1.3 83%

    Chad

    Non-communicable diseases (62,274) Injuries (43,844)

    Communicable diseases (3,119,534)

    1.9% 1.4%

    Mental Health (39,992)

    1.2%

    Proportion of all consultations

    95.5%

    3,265,644 Total number of consultations in 10 countries60% of global disease burden among surveyed refugees

    Country overviewUNDER-FIVE MORTALITYDeaths/1,000/month(Standard

  • Reproductive Health & HIV

    R E P R O D U C T I V E H E A LT H & H I V P R O F I L E S K I L L E D B I R T H AT T E N D A N C E

    Countries with access to newborn careb

    Countries meeting the coverage standard of4 ANC visits (≥95%)d

    Countries meeting contra-ceptive prevalence rate standard (≥30%)c

    20%

    Countries with access to ART equal to nationalsa

    100%

    2009 2011 2012 2013 2014

    Proportion of all births (lowest-highest proportions)Proportion of countries

    92%20% 80%

    90%

    100%

    70%

    60%

    50%

    40%

    2010

    2014 EAST, HORN AND SOUTHERN AFRICA

    85%

    0%

    97%

    Djibouti

    73%

    0%

    100%

    Eritrea

    56%

    83%

    34%

    Ethiopia

    73%

    43%

    96%

    Uganda99%

    100%

    100%

    Namibia

    58%

    0%

    98%

    Sudan

    10%

    11%

    60%

    South Sudan

    94%

    80%

    90%

    Kenya

    73%

    72%

    0%

    Zambia

    S t a n d a r d 1 0 0 %

    2010 2011 2012 2013 2014 2015

    6

    10

    4

    2

    0

    8

    1.3%1.5%

    1.8%

    1.1%

    1.3%

    Re g i o n a l a l l o c a ti o nRe p r o d u c ti v e H e a l t h & H I V *

    Million ($) Proportion of OL-budget

    *A part of RH/HIV activities are included under the public health budget

    86%

    35%

    85%

    Chad

    Country overviewSKILLED BIRTH ATTENDANCEProportion of a l l b i rths(Standard 100%)

    PMTCT COVERAGEProportion covered by PMTCT(Standard 100%)

    POST-EXPOSURE PROPHYLAXISProportion of e l ig ib le rape survivors provided with PEP within 72 hours(Standard 100%)

    NR: Not re l iable data

    Number of countries included in analysis a) 13, b-d) 10

    Data is extracted from UNHCR Global Focus, January 2015

  • Number of sites included in analyses a) 41, b) 33, c) 40

    Nutrition & Food Security

    N U T R I T I O N P R O F I L E N U T R I T I O N S U R V E Y T R E N D S

    2009 2010 2011 2012 2013 2014

    20

    40

    60

    80

    100

    Number of sites with nutrition survey conductedProportion of surveyed sites

    2014 EAST, HORN AND SOUTHERN AFRICA

    Mozambique2010 2011 2012 2013 2014 2015

    15

    25

    10

    5

    0

    20

    2.8%

    6.1%

    2.4%

    4.0%

    3.8%

    Re g i o n a l a l l o c a ti o nN u t r i ti o n a n d Fo o d S e c u r i t y *

    Million ($) Proportion of OL-budget

    *A part of the nutrition activities are included under the public health budget

    Sites meeting the stunting standardb

    Number of sites with nutritionsurvey conducted

    41

    27%

    0%

    Sites meeting the GAM standarda

    Sites meeting the anaemia standardc

    54%

    Country overviewGLOBAL ACUTE MALNUTRITIONRange of proportions from surveyed s i tesStandard of

  • 80%

    60%

    20%

    0%

    100%

    40%

    Water, Sanitation & Hygiene

    WA S H P R O F I L E WAT E R & S A N I TAT I O N T R E N D SProportion of sites meeting the stardard Regional coverage (lowest-highest values)

    2014 EAST, HORN AND SOUTHERN AFRICA

    Kenya24 9

    Uganda14 11

    16 27

    Ethiopia

    13 10

    Djibouti

    25 10

    Eritrea

    21 15

    South Sudan

    24 63

    Sudan

    Re g i o n a l a l l o c a ti o nWa t e r , S a n i t a ti o n & H y g i e n e

    2010 2011 2012 2013 2014 2015

    Million ($)

    60

    100

    40

    20

    0

    80

    Proportion of OL-budget

    19.2%

    16.0%18.6% 16.7%

    15.1%

    18 13

    Chad

    Country overviewWATER ACCESSLitres/person/day(Standard ≥20)

    SANITATION ACCESSPersons/ latr ine(Standard ≤20)

    Litres/person/day Person/latrine

    S SUDAN (6)

    KENYA (7)

    CHAD (17)

    SUDAN (11)

    UGANDA (28)

    DJIBOUTI (2)

    ETHIOPIA (24)

    ERITREA (1)

    Data is extracted from UNHCR Global Focus, January 2015

    2009 2010 2011 2012 2013 2014

    6070

    5040302010

    90Litres/person/day Person/latrine

    80

    The figure in brackets represent the number of sites/settlements included in analysis

  • United Nations High Commissioner for RefugeesPublic Health SectionDivision of Programme Support and ManagementRue de Montbrillant 94 CH-1201 Geneve Switzerland

    T: +41 22 739 8433 F: +41 22 739 7344

    E-mail: [email protected]

    Graphic design: Rasmus Wibæk Christensen, Copenhagen

    The boundaries shown on the maps do not imply official endorsement or acceptance by the United Nations.

    UNHCR © 2015