WESTERN PACIFIC REGION HEALTH DATABANK, 2011 Revision. Total

Transcription

1 COUNTRY HEALTH INFORMATION PROFILE CHINA WESTERN PACIFIC REGION HEALTH BANK, 2011 Revision Demographics 1 Area (1 000 km2) Estimated population ('000s) Annual population growth rate (%) Percentage of population years years - 65 years and above population (%) Crude birth rate (per 1000 population) Crude death rate (per 1000 population) Rate of natural increase of population (% per annum) Life expectancy (years) - at birth - Healthy Life Expectancy (HALE) at age fertility rate (women aged years) Socioeconomic indicators 11 Adult literacy rate (%) Per capita GDP at current market prices (US$) a Rate of growth of per capita GDP (%) 14 Human development index Environmental indicators 15 Health care waste generation (metric tons per year) Communicable and noncommunicable diseases Number of new cases 16 Selected communicable diseases Hepatitis viral - Type A - Type B - Type C - Type E - Unspecified Cholera Dengue/DHF Encephalitis Gonorrhoea Leprosy Malaria Plague Syphilis Typhoid fever b Acute respiratory infections c Among children under 5 years COUNTRY HEALTH INFORMATION PROFILES 73

2 Communicable and noncommunicable diseases Number of new cases 18 Diarrhoeal diseases - Among children under 5 years 19 Tuberculosis - All forms - New pulmonary tuberculosis (smear-positive) r Cancers All cancers (malignant neoplasms only) - Breast - Colon and rectum - Cervix - Leukaemia - Lip, oral cavity and pharynx - Liver - Oesophagus - Stomach - Trachea, bronchus, and lung c c c c c c c,d c c c c c c c Circulatory All circulatory system diseases - Acute myocardial infarction - Cerebrovascular diseases - Hypertension - Ischaemic heart disease - Rheumatic fever and rheumatic heart diseases c c Diabetes mellitus Mental disorders 24 Injuries All types - Drowning - Homicide and violence - Occupational injuries - Road traffic accidents - Suicide c Leading causes of mortality and morbidity Number of cases Rate per population 25 Leading causes of morbidity (inpatient care) 1. Disease of the circulatory system 2. Diseases of the respiratory system 3. Diseases of the digestive system 4. Pregnancy, childbirth, and postpartum complications 5. Injury and poisoning 6. Cerebrovascular diseases 7. Diseases of the genito-urinary system 8. Hypertension 9. Malignanant cancers 10. Musculo-skeletal conditions COUNTRY HEALTH INFORMATION PROFILES

3 Rate per population 26 Leading causes of mortality 1. Malignant neoplasms 2. Heart diseases 3. Cerebrovascular diseases 4. Diseases of respiratory system 5. Injury and poisoning 6. Endocrine, nutritional and metabolic disease 7. Diseases of the digestive system 8. Disease of the genitourinary system 9. Disease of the nervous system 10. Mental disorders e e e e e e e e e e e e e e e e e e e e e e 7.86 e 6.80 e e 7.57 e 6.20 e e 3.35 e 3.85 e Maternal, child and infant diseases 27 Percentage of women in the reproductive age group using modern contraceptive methods 28 Percentage of pregnant women immunized with tetanus toxoid (TT2) 29 Percentage of pregnant women with anaemia Neonatal mortality rate (per 1000 live births) 8.30 f Percentage of newborn infants weighing less than 2500 g at birth Immunization coverage for infants (%) - BCG - DTP3 - Hepatitis B III - MCV2 - POL Number of cases 33 Maternal causes - Abortion - Eclampsia - Haemorrhage - Obstructed labour 499 g g g Sepsis 34 Selected diseases under the WHO-EPI - Congenital rubella syndrome - Diphtheria - Measles - Mumps - Neonatal tetanus - Pertussis (whooping cough) - Poliomyelitis - Rubella - Tetanus Health facilities 35 Facilities with HIV testing and counseling services 9475 h COUNTRY HEALTH INFORMATION PROFILES 75

4 Health facilities Number Number of beds 36 Health infrastructure Public health facilities - General hospitals Specialized hospitals - District/first-level referral hospitals - Primary health care centres 6734 i i j j k k Private health facilities - Hospitals Outpatient clinics Health care financing 37 health expenditure - amount (in million US$) - total expenditure on health as % of GDP - per capita total expenditure on health (in US$) p 2009p p p 2009p 14 Government expenditure on health - amount (in million US$) - general government expenditure on health as % of total expenditure on health - general government expenditure on health as % of total general government expenditure External source of government health expenditure - external resources for health as % of general government expenditure on health Private health expenditure - private expenditure on health as % of total expenditure on health - out-of-pocket expenditure on health as % of total expenditure on health Exchange rate in US$ of local currency is: 1 US$ = p 2009p p p p p 2009p p Health insurance coverage as % of total population Human resources for health Public Private Physicians - Number l Ratio per 1000 population Dentists - Number m Ratio per 1000 population 1.38 n Pharmacists - Number Ratio per 1000 population Nurses - Number Ratio per 1000 population Midwives - Number - Ratio per 1000 population Paramedical staff - Number - Ratio per 1000 population Community health workers - Number 40 Annual number of graduates - Ratio per 1000 population Physicians o Dentists Pharmacists COUNTRY HEALTH INFORMATION PROFILES

5 Public Private 40 Annual number of graduates Nurses Midwives Paramedical staff 41 Community health workers Workforce losses/ Attrition Physicians Dentists Pharmacists Nurses Midwives Paramedical staff Community health workers Health-related Millennium Development Goals (MDGs) 42 Prevalence of underweight children under five years of age Infant mortality rate (per 1000 live births) Under-five mortality rate (per 1000 live births) Proportion of 1 year-old children immunised against measles Maternal mortality ratio (per live births) Proportion of births attended by skilled health personnel - Percentage of deliveries at home by skilled health personnel (as % of total deliveries) - Percentage of deliveries in health facilities (as % of total deliveries) Contraceptive prevalence rate Adolescent birth rate 50 Antenatal care coverage - At least one visit At least four visits 51 Unmet need for family planning 52 HIV prevalence among population aged years 53 Estimated HIV prevalence in adults Percentage of people with advanced HIV infection receiving ART Malaria incidence rate per population Malaria death rate per population 0.01 q Proportion of population in malaria-risk areas using effective malaria prevention measures 58 Proportion of population in malaria-risk areas using effective malaria treatment measures 59 Tuberculosis prevalence rate per population Tuberculosis death rate per population Proportion of tuberculosis cases detected under directly observed treatment short-course (DOTS) 62 Proportion of tuberculosis cases cured under directly observed treatment short-course (DOTS) 63 Proportion of population using an improved drinking water source Proportion of population using an improved sanitation facility Proportion of population with access to affordable essential drugs on a sustainable basis COUNTRY HEALTH INFORMATION PROFILES 77

6 Notes: p est NR a b c d e f g h i j k l m n o p q r s: Data not available Provisional Estimate Not relevant Current market prices 2009 Figure refers to paratyphoid The number of death is calculated according to the rates but not reported data s may not tally due to some reported cases with no gender breakdown Data refers to certain region (data from city, not county) Figure refers to Surveillance Region (per 1000 live births) Based on cause-specific death rates per 100,000, and 16.1 million livebirths in 2008 from registry of the Ministry of Public Security, and included correction for underreporting based on a yearly surveillance report. Amniotic flu embolism reported as obstructed labor Figure includes mainly VCT sites established in CDC system or inside hospital Figure include TCM hospitals and and other specialized hospitals Figure include health service centre for community, urban health centre and tonwhsip health centre Figure include outpatient department, clinic MCH centre and specialised disease prevention and treatment institute Licensed doctors Revised data for registered dentists Computed by Health System Development team of WHO China Office of original data: Chinese Education Statistical book Computed by Health Information, Evidence and Research Unit of the WHO Regional Office for the Western Pacific Actual figure is Estimated number of deaths Government of China. [ Statistical Communique of the People s Republic of China on the 2009 and 2010 National Economic and Social Development. National Bureau of Statistics of China [ World health report Changing history. Geneva, World Health Organization, National sample survey of population and family planning China Statistical book National Bureau of Statistics of China. Human Development Report 2010: The Real Wealth of Nations: Pathways to Human Development. United National Development Programme. [ Ministry of Health of the People's Republic of China [ WHO Regional Office for the Western Pacific, data received from technical units The 3rd National Cause-of-Death Survey, Centre for Health Statistics and Information, Ministry of Health of the People's People's Republic of China. Information furnished by National Population and Family Planning Commission of China, Midterm Evaluation report on the Implementation of the National Programme of Action for Child Development in China ( ), NWCCW. Chinese Health Statistical Digest 2006, 2007, 2008, 2009, 2010 and 2011, and online statistics Ministry of Health, [ Universal Access report on monitoring the Health Sector response to HIV/AIDS: WHO, UNICEF, UNAIDS National health accounts: country information. Geneva, World Health Organization. Accessed in August 2011 from [ China Health Personnel Report 2006 World health statistics Geneva, World Health Organization, Available at [ National Health Services Survey Center for Health Statistics and Information, Ministry of Health UNGASS. This figure includes mainly VCT sites established in CDC system or inside Hospital. Progress on Sanitation and Drinking Water: 2010 Update. World Health Organization and United Nations Children's Fund Joint Monitoring Programme for Water Supply and Sanitation (JMP). UNICEF, New York and WHO, Geneva, [ 78 COUNTRY HEALTH INFORMATION PROFILES