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Achieving MDGs 4&5: Bolivia's Progress on Maternal and Child Health

Rafael Cortez, Fernando Lavadenz, Seemeen Saadat and Andre Medici

No 92272, Health, Nutrition and Population (HNP) Knowledge Briefs from The World Bank

Abstract: Bolivia is a lower-middle income country, but one of the poorest in South America, with a per capita GNI of US$ 5,750 in 2013 and an average GNI growth rate of 4.4 percent during the last ten years. Nearly 36 percent of its population of 10.6 million (2013) are aged 0 to 14 years and one third live in rural areas. The country has a multi-ethnic society and 62 percent of the population self-identify as indigenous people. Bolivia ranks 108th out of 186 countries in the Human Development Index and 97th out of 186 countries on the Gender Inequality Index. Bolivia has made considerable progress in improving maternal and child health. Child-mortality (under 5 years old) declined from 123 to 41 deaths per 1,000 live births between 1990 and 2012. In addition, maternal mortality more than halved from 510 to 200 deaths per 100,000 live births between 1990 and 2013, a 61 percent decline. This note explores the key maternal and child health policies and programs that have been implemented since 1990.

Keywords: access to services; aged; birth attendants; cervical cancer; CHILD HEALTH; child health services; child mortality; child mortality rate; child Survival; Childhood Illness; cold chain; Community Health; Contraceptive Prevalence; decision making; delivery care; demand for health; demand for health services; dental care; development plans; Diarrhea; diphtheria; Disability; diseases; drinking water; endemic diseases; essential health services; family planning; family planning services; financial protection; Gender Equity; Gender Inequality; gender mainstreaming; Health Committees; health delivery; health expenditure; health expenditure per capita; health expenditures; Health facilities; health infrastructure; health insurance; health insurance program; health outcomes; health policies; health programs; health sector; health sector reform; health services; health system; health system efficiency; health systems; healthy lifestyles; hepatitis; hepatitis B; Human Development; human resources; Illness; ILLNESSES; IMMUNIZATION; income; indigenous people; indigenous populations; Infection; influenza; insurance coverage; leading causes; live births; malnutrition; malnutrition among children; management of health; MATERNAL AND CHILD HEALTH; maternal deaths; Maternal Health; maternal health services; maternal mortality; maternal mortality ratio; Measles; meningitis; Ministry of Health; mortality; Mother; National Plan; neonatal mortality; newborn; newborn care; Newborn Health; Nutrition; oral rehydration; oral rehydration therapy; pathogens; pneumonia; policies on gender; Population Knowledge; postpartum care; pregnancies; pregnancy; pregnant woman; primary health care; primary health care facilities; PROGRESS; provision of health services; provision of information; public health; public health insurance; public health insurance scheme; public health system; public insurance; quality of care; reproductive health; reproductive health care; respiratory infections; rural areas; sanitation; screening; sexual rights; Skilled Birth Attendance; skilled birth attendants; social barriers; teen; tetanus; traditional birth attendants; treatment; tuberculosis; under-five mortality; unsafe abortions; urban areas; vaccination; vaccine; vaccines; Violence; whooping cough; youth-friendly services (search for similar items in EconPapers)
Pages: 4 pages
Date: 2014-08
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