Grouping of 22 West and Central African Countries According to Under-5 Mortality Rates Showing Selected Health System Tracer Indicators (Financing, Supply, Health Workforce, and Service Delivery) and Child Indicators
| Group 1, U5MR <25 Deaths per 1,000 Live Births (N=1)a | Group 2, U5MR 25 to 75 Deaths per 1,000 Live Births (N=6)b | Group 3, U5MR >75 Deaths per 1,000 Live Births (N=15)c | Countries With Data,No. | |
|---|---|---|---|---|
| Mortality/demographicsd | ||||
| Under-5 mortality rate (Median, deaths per 1,000 live births) | 19.5 | 54.2 | 88.1 | 22 |
| Annual rate of reduction (2000–2018) | 3.3% | 4.2% | 3.3% | 22 |
| Health financinge | ||||
| Median primary health care expenditure as % current health expenditure (2016–2017) | 63.3% | 67.7% | 73.5% | 14 |
| Median primary health care expenditure per capita (2016–2017) | US$94.5 | US$34.9 | US$24.7 | 13 |
| Median domestic general government health expenditure per capita, PPP (2017) | US$215.1 | US$34.5 | US$25.7 | 22 |
| Median government expenditure on health, percentage of gross domestic product (2018) | 3.1% | 1.5% | 1.0% | 22 |
| Median out-of-pocket expenditure, percentage of current health expenditure (2017) | 28.9% | 48.5% | 43.5% | 22 |
| Supplyf | ||||
| Median essential drug availability | - | 37.1% | 29.0% | 9 |
| Median vaccine availability | - | 83.9% | 76.5% | 8 |
| Median basic equipment availability | - | 87.0% | 82.0% | 9 |
| Median facilities with clean water, electricity, & sanitation (% of health facilities) | - | 54.2% | 69.2% | 8 |
| Health workforce | ||||
| Median community and traditional health worker density (per 1,000 population) | - | 0.1 | 0.1 | 10 |
| Median health center density (per 100,000 population) | 3.8 | 5.1 | 4.4 | 15 |
| Health facility service deliveryg | ||||
| At least 1 antenatal visit, median | 97.6% | 92.0% | 83.2% | 22 |
| At least 4 antenatal visits, median | 72.3% | 77.9% | 51.3% | 22 |
| Skilled attendance at birth, median | 92.3% | 64.8% | 67.3% | 22 |
| Institutional delivery, median | 75.6% | 72.8% | 66.8% | 22 |
| Child health tracer indicatorsh | ||||
| Diphtheria-tetanus-pertussis immunization coverage, median | 98.0% | 86.0% | 79.0% | 22 |
| Children with diarrhea treated with oral rehydration salts, median | - | 36.0% | 34.3% | 21 |
| Children with malaria with first-line treatment (artemisinin-based combination therapy) for under-5, median | - | 57.8% | 17.5% | 21 |
| Children with symptoms of acute respiratory infection who received antibiotics, median | - | 40.2% | 27.8% | 21 |
| Other child health-related tracer indicators (multisectoral)h | ||||
| Children (0–14) living with HIV, median no. | - | 6,100 | 10,000 | 21 |
| Children (0–14) living with HIV receiving antiretroviral therapy, median | - | 27.5% | 23.4% | 21 |
| Children under 5 years who are stunted (moderate and severe), median | 21.0% | 23.0% | 32.0% | 22 |
| Children under 5 years who are wasted (severe), median | - | 1.5% | 2.0% | 21 |
| Children under 5 years who have their births registered, median | 91.4% | 74.7% | 65.6% | 22 |
| Households with at least basic drinking water services, median | 87.1% | 75.6% | 63.3% | 21 |
| Households with at least basic sanitation services, median | 73.9% | 19.3% | 21.6% | 21 |
| Households with at least basic hygiene facilities, median | - | 17.3% | 14.7% | 18 |
Abbreviation: U5MR, under-5 mortality rate.
↵a Cabo Verde.
↵b Senegal, Ghana, Congo, Gambia, Togo, Liberia.
↵c Mauritania, Cameroon, Burkina Faso, Cote d'Ivoire, Guinea-Bissau, Niger, Equatorial Guinea, Democratic Republic of the Congo, Benin, Mali, Guinea, Sierra-Leone, Central African Republic, Chad, Nigeria.
↵d Mortality/Demographics Source: 2019 United Nations Inter-agency Group for Child Mortality Estimation (United Nations Children's Fund, World Health Organization, United Nations Population Division and the World Bank Group).
↵e Health Financing Sources: Databank from The World Bank, Global Health Expenditure Database from World Health Organization, and Primary Health Care Performance Initiative.
↵f Supply Source: Based on country's latest results from the Service Availability and Readiness Assessment, if available.
↵g Health Workforce Source: Primary Health Care Performance Initiative.
↵h Health Service Delivery, Child Health, Multi-sectoral Child Needs: Based on latest Demographic and Health Survey or MICS Country Survey Results and 2019 State of the World's Children Report.