Swaziland in the ECSA Health Community
Swaziland joined ECSA as a founding member in 1974 as one of the founding members. Since joining the ECSA health Community, Swaziland has hosted the Health Ministers Conference in 1982 and 2000. Swaziland has also held the chairmanship of the Advisory Committee in 1985 and 1994 and 2007.
The ministry of Health has consistently supported the activities and programmes of the ECSA Health community over the last three decades. Swaziland’s financial contribution to the ECSA Health Community has ensured that the secretariat functions continue to be executed in a timely manner in line with the resolutions of the Ministers of health.
All subsequent ministers of Health in Swaziland since 1974 have ensured that the country continues to share its experiences and challenges in implementation of various health programmes during ECSA forums such as the Directors expert committee, programme expert committees, the forums for best practice in health care and the annual ECSA Health Ministers Conference. Senior Ministry officials led by permanent secretaries have held various leadership roles in ECSA’s expert committees and played their part in ensuring the organization remains relevant, focused and responsive to the needs for the member countries.
2.0 Overview of key indicators
a. Socio-economic and Demographic
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Indicator
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Value
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Source
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GDP growth rate.
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Population dependency ratio (under 15 and over 65 years)
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Life expectancy at birth (all gender)
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Population growth rate
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b. Maternal and Child Health & Family and Reproductive Health
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Indicator
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Value
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Source
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Infant mortality rate per 1000 live births
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Maternal mortality rate per 100 000 live births
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589
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SDHS 2006-07
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Under five mortality rate per 1000 live births
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Births attended by skilled health personnel
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74%
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SDHS 2006-07
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Contraceptive prevalence
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Full immunization coverage amongst 1 year olds
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ANC coverage (%) at least one visit
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Unmet need for Family Planning
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Total fertility rate
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c. HIV/AIDS, TB and Malaria
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Indicator
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Value
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Source
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Adult (15-49) HIV prevalence
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26%
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SDHS 2006-07
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Condom use at last high-risk sex
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PMTCT coverage
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Tuberculosis prevalence per 100 000 population
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Tuberculosis treatment success under DOTS
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Malaria mortality rate per 100 000 population
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% of pregnant women sleeping under an ITN
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d. Health Systems
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Indicator
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Value
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Source
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General government expenditure on health as % of GDP
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2.7%
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MOH 2010
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Out of pocket expenditure as a % of private expenditure on health
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81.5%
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MOH 2007
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No. of doctors per 10 000 population
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12
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MOH 2009
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No. of nurses per 10 000 population
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25.9
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MOH 2009
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No. of health workers per 10 000 population
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120
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MOH 2009
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Client Satisfaction Rate
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No data
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