Zambia in the ECSA Health Community
Zambia was among the founding members of ECSA HC in 1974. Zambia has hosted the ECSA Health Ministers conference twice in 1972 and 2003. Zambia has also chaired the advisory committee in 1976, 1977, 1980, 1988 and 2005.
Like all other founding members, the ministry of Health Zambia has consistently supported the activities and programmes of the ECSA Health community over the last three decades. Zambia’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.
Since 1974 Ministers of Health in Zambia 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
|
Indicator
|
Value
|
Source
|
|
GDP growth rate.
|
6.3%
|
CSO 2008
|
|
Population dependency ratio (under 15 and over 65 years)
|
91 (Child Dependency); 6 (Old Age Dependancy)
|
UN Data 2010
|
|
Life expectancy at birth (all gender)
|
48 (M); 52 (F)
|
Census 2000
|
|
Population growth rate
|
2.4% p.a
|
Census 2000
|
b. Maternal and Child Health & Family and Reproductive Health
|
Indicator
|
Value
|
Source
|
|
Infant mortality rate per 1000 live births
|
70
|
ZDHS 2007
|
|
Maternal mortality rate per 100 000 live births
|
591
|
ZDHS 2007
|
|
Under five mortality rate per 1000 live births
|
119
|
ZDHS 2007
|
|
Births attended by skilled health personnel
|
47%
|
ZDHS 2007
|
|
Contraceptive prevalence
|
41%
|
ZDHS 2007
|
|
Full immunization coverage amongst 1 year olds
|
90%
|
ZDHS 2007
|
|
ANC coverage (%) at least one visit
|
97%
|
ZDHS 2007
|
|
Unmet need for Family Planning
|
14%
|
ZDHS 2007
|
|
Total fertility rate
|
6.2
|
ZDHS 2007
|
c. HIV/AIDS, TB and Malaria
|
Indicator
|
Value
|
Source
|
|
Adult (15-49) HIV prevalence
|
14.3%
|
ZDHS 2007
|
|
Condom use at last high-risk sex
|
44%
|
ZDHS 2007
|
|
PMTCT coverage
|
66.4%
|
PRBS 2009
|
|
Tuberculosis prevalence per 100 000 population
|
597
|
WHO Report on TB Control 2008
|
|
Tuberculosis treatment success under DOTS
|
86%
|
NTP 2009
|
|
% of pregnant women sleeping under an ITN
|
33%
|
ZDHS 2007
|
d. Health Systems
|
Indicator
|
Value
|
Source
|
|
General government expenditure on health as % of GDP
|
1.6%
|
NHA 2006
|
|
Out of pocket expenditure as a % of private expenditure on health
|
79.9%
|
NHA 2006
|
|
No. of doctors per 10 000 population
|
0.64
|
MoH PMEC 2009
|
|
No. of nurses per 10 000 population
|
5.7
|
MoH PMEC 2009
|
|
No. of health workers per 10 000 population
|
9.35
|
MoH PMEC 2009
|
|
Client Satisfaction Rate
|
No data
|
|
|
