CHAT Core Indicators With Source, Data Type, and Status as Sustainable Development Goals or Every Women Every Child Global Strategy Indicators
| CHAT Core Indicator Namea | CHAT Recommended Definition | Country Data Source | Country Comparable Estimates? | SDG Indicator? | EWEC GS Indicator? |
|---|---|---|---|---|---|
| Under-5 mortality rate | Probability of dying between birth and exactly 5 years of age, per 1,000 livebirths | CRVS, population-based surveys | UN-IGME (annual) | 3.2.1 | Yes |
| Older child mortality rate (5–9 years) | Probability of dying at age 5 to 9 years expressed per 1,000 children aged 5 | CRVS, population-based surveys | UN-IGME (annual) | No | No |
| Causes of death in children under 5 and 5 to 9 years | Age specific death rates by cause as defined by ICD-11 | CRVS, population-based surveys | Maternal and Child Epidemiology Estimation Group, WHO Global Health Estimates | No | No |
| Wasting prevalence in children under 5 | % wasted (moderate and severe) children aged 0–59 months (moderate=weight for height below -2 standard deviation from the median of the WHO Child Growth Standards; severe=weight for height below -3 standard deviations from the median of the WHO Child Growth Standards) | Population-based surveys; facility data | UNICEF/WHO/World Bank Joint Child Malnutrition Estimates | 2.2.2 | Yes |
| Overweight prevalence in children under 5b | % overweight children aged under 5 years (overweight= weight for height >+2 standard deviation from the median of the WHO Child Growth Standards) | Population-based surveys, facility data | UNICEF/WHO/World Bank Joint Child Malnutrition Estimates | 2.2.2 | Yes |
| Stunting prevalence among children under 5 | % stunted (moderate and severe) children aged 0–59 months (moderate=height-for-age below -2 standard deviations from the WHO Child Growth Standards median; severe=height-for-age below -3 standard deviations from the WHO Child Growth Standards median) | Population-based surveys, facility data | UNICEF/WHO/World Bank Joint Child Malnutrition Estimates | 2.2.1 | Yes |
| Percentage of children under 5 years of age who are developmentally on track in health, learning, and psychosocial well-being, by sex (ECDI2030) | Proportion of children under 5 years of age who are developmentally on track in health, learning, and psychosocial well-being is currently being measured by the percentage of children aged 24–59 months who are developmentally on-track in at least 3 of the following 4 domains: literacy-numeracy, physical, socio-emotional, and learning. | UNICEF Multiple Indicator Cluster Surveys | No | 4.2.1 | Yes |
| Exclusive breastfeeding | Proportion of children aged 0–5 months who are exclusively fed with breast milk | National and other surveys | No | No | Yes |
| Vitamin A supplementation (full coverage) | % children aged 6–59 months who received 2 age-appropriate doses of vitamin A in the past 12 months | National and other surveys, facility data | UNICEF global nutrition database based on administrative reports from countries | No | No |
| Full vaccination coverage (immunization according to national schedule) | Proportion of the target population covered by all vaccines included in their national program | National and other surveys, facility data | WHO and UNICEF Estimates of National Immunization Coverage (annual) | 3.b.1 | Yes |
| Measles vaccination | % children who have received 2 doses of measles containing vaccine in a given year, according to the nationally recommended schedule | National and other surveys, facility data | WHO and UNICEF Estimates of National Immunization Coverage (annual) | No | Yes |
| Care-seeking for children with symptoms of acute respiratory infection | % children aged under 5 years with acute respiratory infection (cough and difficult breathing not due to a problem from a blocked nose) in the previous 2 weeks taken to an appropriate health facility or provider | National and other surveys, facility data | No | As part of 3.8.1 | Yes |
| Care-seeking for fever in children under the age of 5 | % children aged under 5 years with fever in the previous 2 weeks taken to an appropriate health facility or provider | National and other surveys, facility data | No | No | No |
| Diarrhea treatment (ORS and zinc) | % children aged under 5 years with diarrhea in the last 2 weeks receiving ORS (fluids made from ORS packets or prepackaged ORS fluids) and zinc supplement | National and other surveys, facility data | No | No | Yes |
| Maltreatment, harsh punishment by caregivers | Proportion of children aged 1–17 years who experienced any physical punishment and/or psychological aggression by caregivers in the past month | UNICEF Multiple Indicator Cluster Surveys capture this indicator for children aged 1 to 14 years | No | 16.2.1 | No |
| Neural tube defect (prevalence) | Prevalence of disorders that occur during gestation, involving specific elements of the neural tube; consensus needed on a definition of prevalence for children younger than 5 years and for children aged 5–9 years | National birth defect registries, facility data | WHO and partners burden of birth defects estimates (expected 2024) | No | No |
| Uncorrected refractive error (prevalence) | Prevalence of refractive errors (eye disorders impeding the full development of good visual function) that have not been corrected; consensus needed on a definition of prevalence for children younger than 5 years and for children aged 5–9 years | Special surveys | No | No | No |
| Asthma (prevalence) | % of children younger than 5 years and children aged 5–9 years with asthma | Special surveys, facility data | Estimates from WHO, IHME, and others | No | No |
| Anemia prevalence in children | % of children aged 6−59 months with a hemoglobin concentration of <110 g/L, adjusted for altitude | Special surveys, facility data | WHO Global Database on Anemia | No | No |
| Road traffic accidents | Years of life lost to disability due to road traffic accidents among children aged 0–9 years | Special surveys, facility data, and road traffic authority/police reports | WHO Global Health Estimates, Child and Adolescent Cause of Death Estimates (CA-CODE; WHO and partners) | No | No |
Abbreviations: CHAT, Child Health Accountability Tracking; CRVS, civil registration and vital statistics; ECDI2030, Early Childhood Development Index 2030; EWEC GS, Every Woman Every Child Global Strategy; ICD-11, International Classification of Diseases 11th Revision; IHME, Institute for Health Metrics and Evaluation; ORS, oral rehydration solution; SDG, Sustainable Development Goal; UN-IGME, United Nations Inter-agency Group for Child Mortality Estimation; WHO, World Health Organization.
↵a For all indicators, data or estimates are used by national governments and international agencies.
↵b CHAT technical advisory group recommends that this indicator be extended also to ages 5–9 years.