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

Rafael Cortez, Intissar Sarker, Seemeen Saadat and John Paul Clark

No 92548, Health, Nutrition and Population (HNP) Knowledge Briefs from The World Bank

Abstract: Malawi has made great progress in improving maternal and child health (MCH). Under-five mortality declined from 244 to 71 deaths per 1,000 live births between 1990 and 2012, and maternal mortality declined from 1,100 to 510 maternal deaths per 100,000 live births between 1990 and 2013. This note explores the actions Malawi has taken to reduce child and maternal mortality, focusing on policies and programs implemented since the 1990?s. Malawi is a low-income country with a per capita GNI (PPP) of US$ 650 in 2011, and an average GNI growth rate of 3.8 percent (2002-11). Nearly half of its population of 15.3 million is under age 14 and the majority live in rural areas. Poverty is high with 62 percent living on less than US$ 1.25 a day. As of 2010, female labor force participation was 52 percent, with the majority employed in the informal sector. The primary school completion rate is approximately 70 percent with near gender parity, but enrollment drops sharply at the secondary school level to 33 percent for girls and 36 percent for boys.

Keywords: adolescent; adolescent fertility; adolescent mothers; adolescent reproductive health; age at marriage; aged; anemia; antenatal clinics; antibiotics; birth spacing; breastfeeding; capacity building; care services; CHILD HEALTH; child health services; child mortality; Child Survival; Childhood Illness; clinics; contraception; contraceptive prevalence; deworming; disability; disease; Domestic Violence; drug supplies; early age at marriage; Evolution of Population Policies; family planning; family planning services; female labor force; fertility; fertility rate; Gender equality; gender parity; Gender Policy; girls; girls in school; Global Health; health expenditure; health interventions; HEALTH POLICIES; HEALTH PROGRAMS; Health Strategy; Health Surveillance; health system; health workers; HIV; HIV/AIDS; home visits; hospitalization; Human Resources; Illness; illnesses; immunization; Immunizations; income; live births; low-income country; Lung Disease; Lung Health; malaria; Malaria Control; Malaria treatment; MATERNAL AND CHILD HEALTH; maternal deaths; maternal mortality; Maternal Mortality Ratio; measles; morbidity; morbidity and mortality; Mother; Mother-to-Child; Mother-to-Child Transmission; National Population; National Population Policy; Neonatal Mortality; Newborn; Newborn Care; newborn child; newborn deaths; Nutrition; obstetrics; oxygen; Plan of Action; pneumonia; political participation; Population Knowledge; Population Research; Post-abortion; Post-abortion care; pregnant women; Prevention of Mother; Prevention of Mother-to-Child Transmission; preventive treatment; primary care; primary education; primary school; PROGRESS; public health; public health services; quality of care; quality of services; regional strategies; risk of death; rural areas; rural women; Safe Motherhood; secondary school; secondary school level; service delivery; skilled birth attendance; therapy; Tuberculosis; Under-five mortality; unsafe abortions; woman; women in parliament; Young people; young women; youth (search for similar items in EconPapers)
Pages: 4 pages
Date: 2014-08
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