Country Health System Fact Sheet 2006

Senegal
DAKAR
FRENCH
196722
59
YEARS SENEGAL
WHO
AFRICAN
REGION
(000) 2005 11 658 738 083
(%) 19952004 2.2 2.2
(%) 2005 51 38
2004 4.9 5.3
(%) 1997-2002 ... 11.7
(%) 20002004 39.3 60.1
Males (%) 71 70
Females (%) 66 63
(PPP Int.$) 2004 1720 2 074
(% with <$1a day) 1997-2003 44
YEARS SENEGAL
WHO
AFRICAN
REGION
Males 2004 54 47
Females 2004 57 49
Males 2002 47 40
Females 2002 49 42
Males 2004 358 519
Females 2004 288 465
Both sexes 2004 137 167
Both sexes 2004 78 100
Both sexes 2000 31 43
Females 2000 690 910
HIV/AIDS 2003 31 313
TB among HIV-negative peop 2004 49 53
TB among HIV-positive peopl 2004 3 28
Non-communicable diseases 2002 832 800
Cardio-vascular diseases 2002 426 404
Cancer 2002 146 144
Injuries 2002 125 133
Communicable diseases 2002 76 59
Non-communicable diseases 2002 13 10
Injuries 2002 11 8
Neonatal causes 2000 22.8 26.2
HIV/AIDS 2000 1.0 6.8
Diarrhoeal diseases 2000 17.1 16.6
Measles 2000 8.1 4.3
Malaria 2000 27.6 17.5
Pneumonia 2000 20.7 21.1
Injuries 2000 2.6 1.9
Other 2000 0.2 5.6
Data not available or not applicable.
a
WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/
Cause-specific mortality rate (per 100 000 population) (Both sexes)
Age-standardized mortality rate by cause (per 100 000 population) (Both
sexes)
Years of life lost by broader causes (%) (Both sexes)
Causes of death among children under 5 years of age (%) (Both sexes)
Probability of dying per 1 000 live births under 5 years (under-5 mortality
rate)
Infant mortality rate (per 1 000 live births)
Neonatal mortality rate (per 1 000 live births)
Maternal mortality ratio (per 100 000 live births)
Life expectancy at birth (years)
Healthy life expectancy (HALE) at birth (years)
Healthy life expectancy (HALE) at birth (years)
Probability of dying per 1 000 population between 15 and 60 years (adult
mortality rate)
a
WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/
HEALTH STATUS STATISTICS MORTALITY
a
Life expectancy at birth (years)
19982004
Gross national income per capita
Population living below the poverty line
Data not available or not applicable.
Total fertility rate (per woman)
Adolescent fertility proportion
Adult literacy rate
Net primary school enrolment ratio
DEMOGRAPHIC AND SOCIOECONOMICS STATISTICS
a
Population
number
annual growth rate
in urban
Largest urban agglomeration or Capital city :
Official language:
Surface area (square kms) :
Population density (per square km):

Legend:
WHO African Region
Senegal
Source: World Health Statistics 2006
Senegal
Summary Year Males Females
Both
sexes
Population (millions) 2005 5.7 5.9 11.7
Life expectancy (years) 2004 54 57 55
Under-5 mortality (per 1 000 live births) 2004 141 132 137
Adult mortality (per 1 000) 2004 358 288
Maternal mortality (per 100 000 live births) 2000 690
Source: World Health Statistics 2006
Under-5 mortality rate (per 1 000 live births)
Senegal, 2004
Under-5 mortality
Under-5 mortality: Estimated trend and MDG goal
Senegal, 1980-2004
Source: i) WHO mortality database ii) World Health Statistics 2006
Under-5 mortality: Age-specific mortality rates
Senegal , DHS 1986, DHS 1993, DHS 1997
Note: rate for 5 years preceding the survey
Source: DHS 1986 , DHS 1993 DHS 1997
Under-5 mortality: for highest and lowest quintiles
Senegal, DHS
Wealth/assets quintiles Lowest Highest Ratio
... ... ...
Sex Males Females Ratio
150 141 1.1
Urban/Rural Rural Urban Ratio
171 92 1.9
Mother's education quintiles None Higher Ratio
160 80 2.0
Note: rate per 1 000 live births for 10-year period preceding the survey
Source: DHS
Under-5 mortality rates by wealth quintile
Senegal, DHS
Note: rate for 10-year period preceding the survey
Source: DHS



Causes of death in children under-5
Distribution of causes of death
among children under 5 years of age
Senegal, 2000-2003
Causes
Deaths
b
Regional
average
(%) (%)
Total neonatal deaths 100 100
Neonatal causes
a
23 26
HIV/AIDS 1 7
Diarrhoeal diseases 17 17
Measles 8 4
Malaria 28 17
Pneumonia 21 21
Injuries 3 2
Others 0 6
Includes diarrhoea during neonatal period a.
Sum of individual proportions may not add up to 100% due to
rounding.
b.
Annual estimated proportions of death
by cause for neonates
Senegal, 2000
Causes
Deaths
c
Regional
average
c
(%) (%)
Total neonatal deaths 100 100
Neonatal tetanus 6 9
Severe infection
a
32 27
Birth asphyxia 23 24
Diarrhoeal diseases 2 3
Congenital anomalies 7 6
Preterm birth
b
24 23
Others 6 7
Includes deaths from pneumonia, meningitis, sepsis/septicaemia
and other infections during the neonatal period.
a.
Includes only deaths directly attributed to prematurity and to specific
complications of preterm birth such as surfactant deficiency, but not
all deaths in preterm infants.
b.
Sum of individual proportions may not equal 100% due to rounding. c.
Causes of Death
Top ten causes of death, all ages
Senegal, 2002
Causes
Deaths
Years
of Life
Lost
(000) (%) (%)
All causes 102 100 100
Lower respiratory infections 16 16 20
Malaria 13 13 16
Perinatal conditions 8 9 11
Diarrhoeal diseases 7 7 9
Tuberculosis 4 5 4
Cerebrovascular disease 4 4 2
Ischaemic heart disease 3 4 1
HIV/AIDS 3 3 3
Road traffic accidents 3 3 3
Whooping cough 1 2 2
Source: Death and DALY estimates by cause, 2002
http://www.who.int/entity/healthinfo/statistics/bodgbddeathdalyestimates.xls
Life expectancy at birth among males (years)
Senegal, 2004
Life expectancy at birth among females (years)
Senegal, 2004
Maternal mortality ratio (per 100 000 live births)
Senegal, 2000

Legend:
WHO African Region
Senegal
Source: World Health Statistics 2006
Country Health System Fact Sheet 2006
Senegal
YEARS SENEGAL
WHO
AFRICAN
REGION
HIV prevalence amond adults (15 - 49) (%) Both sexes 2003 0.8 7.1
Both sexes 2004 451 518
Both sexes 2004 245 356
Both sexes 2005 0 854
YEARS SENEGAL
WHO
AFRICAN
REGION
Non-communicable diseases - Infobase for the countrySee ---> http://www.afro.who.int/dnc/infobase/Senegal.pdf
2000
25.4
2000
22.7
2000
2.2
2000-2002 18 14
Males
...
Females ...
Urban 2002 90 84
Rural 2002 54 45
Urban 2002 70 58
Rural 2002 34 28
Urban 2003 24 ...
Rural 2003 80 ...
Both sexes 2002 16.6 ...
Males 2003 24.1 ...
Females 2003 1.9 ...
Males ... ...
Females ... ...
Condom use by young people (15 - 24) at higher risk sex (%)
Data not available or not applicable.
a
WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/
Access to improved sanitation(%)
Population using solid fuels(%)
Prevalence of current tobacco use (%)Adolescents (13 - 15)
Prevalence of current tobacco use (%) Adults (15)
Children under-5 overweight for age(Both sexes) (%)
Newborns with low birth weight(Both sexes) (%)
Adults (15) who are obese (%)
Access to improved water sources(%)
BEHAVIOUR AND ENVIRONMENTAL RISK FACTORS
a
Chilfren under-5 stunted for age (Both sexes) (%)
Children under-5 underweight for age(Both sexes) (%)
TB incidence (per 100 000 population)
Number of comfirmed polio cases
Data not available or not applicable.
a
WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/
HEALTH STATUS STATISTICS MORBIDITY
a
TB prevalence (per 100 000 population)
Country Health System Fact Sheet 2006
Senegal
YEARS SENEGAL
WHO
AFRICAN
REGION
Measles (%) 2004
57 66
DTP3 (%) 2004 87 66
HepB3 (%) 2004 54 35
At least 1 visit (%) 1999 82
At least 4 visits (%) 1999 64
(%) 2000 58
(%) 1999 10.5
(%) 2000 1.7
Antiretroviral therapy coverage (%) Dec 2005 47 17
TB detection rate under DOTS (%) 2004 52 48
TB detection treatment success DOTS (%) 2003 cohort
70 72
(%) ...
(%) 1999 48.3
(%) 2000 36.2
(%) 2002 82.7
(%) 1997 2
YEARS SENEGAL
Number 2004 594
Density 2004 0.06
Number 2004 3 287
Density per 1000 2004 0.32
Number ...
Density per 1000 ...
Number 2004 97
Density per 1000 2004 0.01
Number 2004 85
Density per 1000 2004 0.01
Number 2004 705
Density per 1000 2004 0.07
Number ...
Density per 1000 ...
Number 2004 66
Density per 1000 2004 0.01
Number 2004 704
Density per 1000 2004 0.07
Number 2004 564
Density per 1000 2004 0.05
2003 5.1
2003 41.8
2003 58.2
General government expenditure on health as % of total government expenditure 2003 9.3
2003 15.4
2003 15.8
2003 95.3
2003 3.4
2003 29
2003 58
2003 12
2003 24
2002 <25
...
Data not available or not applicable.
a
WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/
Per capita government expenditure on health at average exchange rate (US$)
Per capita government expenditure on health at international dollar rate
Coverage of vital registration of deaths(%)
Hospital beds (per 10 000)
Out-of-pocket expenditure as % of private expenditure on health
Private prepaid plans as % of private expenditure on health
Per capita total expenditure on health at average exchange rate (US$)
Per capita total expenditure on health at international dollar rate
General government expenditure on health as % of total expenditure on health
Private expenditure on health as % of total expenditure on health
External ressources for health as % of total expenditure on health
Social security expenditure on health as % of general government expenditure on health
Lab technicians
Other health workers
Health management and support workers
Total expenditure on health as % of gross domestic product
Dentists
Pharmacists
Public and environmental health workers
Community Health workers
HEALTH SYSTEMS STATISTICS
a
Physicians
Nurses
Midwives
Children 6-59 months who received vitamin A supplementation
Births by Caesarean section
Data not available or not applicable.
a
WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/
Children under-5 sleeping under insecticide-treated nets
Children under-5 with ARI symptoms taken to facility
Children under-5 with diarrhoea receiving ORT
Children under-5 with fever who received treatment with any antimalarial
Immunization coverage among 1-year-olds
Antenatal care coverage
Births attended by skilled health personnel
Contraceptive prevalence rate
HEALTH SERVICES COVERAGE STATISTICS
a
Country Health System Fact Sheet 2006
Senegal
Total numbers and densities of the health workforce in SENEGAL (2002)
Total number SENEGAL
Density per
1000 SENEGAL
Density per
1000 AFRO
594 0.057 0.217
3287 0.318 1.172
97 0.009 0.035
85 0.008 0.063
705 0.068 0.049
66 0.006 0.057
704 0.068 0.173
n.a. n.a. 0.449
564 0.055 0.411
6102 0.590 2.626
Densities of health workers in SENEGAL and in the African Region per 1000 population
Health management and support
Sum total
Distribution of health workforce by cadre
Environmental and public health workers
Laboratory technicians
Other health workers
Community health workers
Physicians
Nurses and midwives
Dentists and technicians
Pharmacists and technicians
HUMAN RESOURCES FOR HEALTH
Country Fact Sheet Senegal
Algeria
0.000
0.200
0.400
0.600
0.800
1.000
1.200
1.400
Physicians Nurses and
midwives
Dentists and
technicians
Pharmacists and
technicians
Environ. and
public health
Laboratory
technicians
Other health
workers
Community
health
Management
and support
African Region
SENEGAL
SENEGAL
9.7
53.9
11.5
9.2
1.6
1.4
11.6
1.1
African Region
9.7
50.7
1.5
2.8
1.5
2.6
7.5
11.2
12.5 Physicians
Nurses and midwives
Dentists and technicians
Pharmacists and technicians
Environ. and public health
Laboratory technicians
Other health workers
Community health
Management and support
Country Health System Fact Sheet 2006
Senegal
YEARS SENEGAL
WHO
AFRICAN
REGION
2000 22.7 26

1990 ...
2003 137 171
2004 137 167
14. Infant mortality rate (per 1000 live births, %) 1990 74 ...
2003 78 ...
2004 78 100
2003 60 63
2004 57 66
1990 1200
1995 1200
2000 690 990
2003
2004
17. Proportion of births attended by skilled health personnel 2000 58 43

2003 0.8 7.1
19. Condom use rate of the contraceptive prevalence rate
- Contraceptive prevalence rate 2000 10.5

21. Prevalence rate associated with malaria
- Death rates associated with malaria (per 100 000) 2000 71

23. Prevalence rate associated with tuberculosis (per 100 000) 1990 401 317
2000 416
2004 451 518
- Death rates associated with tuberculosis 1990 44 41
2000 46
2004 52 81
2003 59 50
2004 52 48
2002 66 73
2003 70 72
2002 41 76
2002 90 84
2002 54 45
2002 70 58
2002 34 28

a
THE WORLD HEALTH REPORT 2004 UPDATED WITH THE WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/
GOAL 8: DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT
46. Proportion of population with access to affordable essential drugs on a sustainable basis
Data not available or not applicable.
30. Proportion of population with sustainable access to improved water source, urban
- Proportion of population with sustainable access to improved water source, rural
31. Proportion of urban population with access to improved sanitation
- Proportion of rural population with access to improved sanitation
24. Proportion of tuberculosis cases detected under DOTS
- Proportion of tuberculosis cases cured under DOTS
GOAL 7: ENSURE ENVIRONMENTAL SUSTAINABILITY
29. Proportion of population using solid fuels
18. HIV prevalence among pregnant women aged 15-24
- HIV prevalence among adults (15-49) %, both sexes
20. Number of children orphaned by HIV/AIDS
22. Proportion of population in malaria-risk areas using effective malaria prevention and trreatment
measures
15. Proportion of one-year-old children immunized against measles, %
GOAL 5: IMPROVE MATERNAL HEALTH
16.Maternal mortality ratio (per 100 000 live births)
GOAL 6: COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES
4. Prevalence of underweight children under five years of age
5. Proportion of population below minimum level of dietary energy consumption
GOAL 4: REDUCE CHILD MORTALITY
13. Under-five mortality rate (per 1000 live births, %)
MILLENIUM DEVELOPMENT GOALS
a
GOAL 1: ERADICATE EXTREME POVERTY AND HUNGER
Country Health System Fact Sheet 2006
Senegal
Progres towards MDG Under-5 Mortality target
SENEGAL
46
137
137
137
0
20
40
60
80
100
120
140
160
1985 1990 1995 2000 2005 2010 2015 2020
Year
U
n
d
e
r
-
5

M
o
r
t
a
l
i
t
y

R
a
t
e
Target
Maternal mortality ratio (per 100 000 live births)
SENEGAL vs Africa
1200 1200
690
870 1000 910
0
200
400
600
800
1000
1200
1400
1988 1990 1992 1994 1996 1998 2000 2002
Year
M
a
t
e
r
n
a
l

m
o
r
t
a
l
i
t
y

r
a
t
i
o
SENEGAL Africa