1. Country Statistics PAKISTAN: Epidemiological Transition Dr. Babar T. Shaikh The Aga Khan University, Karachi, Pakistan.

2. INDIA AFGHANISTAN IRAN ARABIAN SEA Kashmir CHINA CENTRAL ASIA

3. Rank Country Population 1 China 1,286,975,468 2 India 1,049,700,118 3 United States 290,342,554 4 Indonesia 234,893,453 5 Brazil 182,032,604 6 Pakistan 150,694,740 7Russia 144,526,278 8Bangladesh 138,448,210 9 Nigeria 133,881,703 10 Japan 127,214,499 Countries ranked by Population 2003

4. Basic Indicators Total Population 150,694 (000s) Population under 5 23793 Population under 18 73691 Annual no. of births 5349 GNP per Capita(US$) 470

5. Education Adult Literacy Rate Adult Literacy Rate Male59 Female33 Primary School Enrolment Ratio Primary School Enrolment Ratio Male84 Female60 Secondary School Enrolment Ratio Secondary School Enrolment Ratio Male33x Female17x

6. Water and Sanitation % of population with access to safe water Water – Total88 Water – Urban96 Water – Rural84 % of population with access to adequate sanitation Sanitation – Total 61 Sanitation – Urban 94 Sanitation – Rural 42

7. Immunization % fully immunized (1-year-old children) BCG73 DPT358 Polio358 Measles54 TT251 % of routine EPI vaccines financed by government: 100

8. Demographic Indicators Indicator Value Data Unit Year Source Population Growth Rate 2.1 % 2001 1 Percent Urban 36.5 % 1999 2 Life Expectancy at Birth 61.5 2001 1 Crude Birth Rate 31.2 per 1,000 2001 1 Crude Death Rate 9.3 per 1,000 2001 1 Number of Live Births 4,513 000s 2001 1

9. Life Expectancy at birth (years) Life Expectancy at birth (years) Both sexes61.3 Males61.0 (59.4 – 62.5) Females 61.5 (59.7 - 63.2)

10. Socio-economic Indicators Indicator Value Data Unit Year Source GNI per Capita (PPP) 1,860 $ 1999 1 Health Expenditure as percentage of GDP 4.0 % 1990-98 1 Physicians per 1,000 People 0.6 1990-98 1 Adult Literacy Rate 45.0 % 1999 1 Adult Literacy Rate, Female 33.0 % 1999 1 Adult Literacy Rate, Male 58.9 % 1999 1

11. Family Planning Indicators Indicator Value Data Unit Year Source Total Fertility Rate 4.4 2001 1 Total Fertility Rate 4.9 1990 2 Contraceptive Prevalence Rate, Modern Methods, All Women 8.7 % 1990 2 Contraceptive Prevalence Rate, Modern Methods, Married Women 12.6 % 1994 3 Mean Ideal Family Size 4.1 1990 2 Women 20-24 Who Gave Birth before age 20 30.5 % 1990 2

12. Maternal Health Indicators Indicator Value Data Unit Year Source Maternal Mortality Ratio 201 /100,000 live births 1995 1 Antenatal Care (at least 1 visit) 28.8 % 1990 2 Antenatal Care (2+ visits) 23.5 % 1990 2 Antenatal Care (4+ visits) 14.2 % 1990 2 Assisted Delivery by a Health Professional 18.6 % 1990 2 Assisted Delivery by Doctor 12.3 % 1990 2 Assisted Delivery by Other Health Professional 6.3 % 1990 2

13. Child Survival Indicators Indicator Value Data Unit Year Source ARI Treatment – Children Under 5 66.3 % 1990 1 ORT Use Rate 44.9 % 1990 1 Mortality Indicators Infant Mortality Rate 79 2002 2 (per 1,000 live births) Females 78 2002 2 Males 79 2002 2 Under-5 Mortality Rate 122 2001 2

14. Child Survival Indicators II Indicator Value Data Unit Year Source Nutrition Indicators Exclusive Breastfeeding (under 4 mos.) 10.5 % 1990 1 Exclusive Breastfeeding (under 6 mos.) 10.9 % 1990 1 Stunted (height-for-age) 49.6 % 1990 1 Underweight (weight-for-age) 40.2 % 1990 1 Wasted (weight-for-height) 9.2 % 1990 1

15. Infant Mortality rates / Under 5 Mortality rates YearInfant Mortality Rate Under 5 Mortality Rate 1985118 188 1990106 166 199593 144 200082 125 200573 108 201063 93 201555 79 202047 66

16. HIV/AIDS Prevention Indicators Indicator Value Data Unit Year Source HIV Prevalence, Adults 0.1 % 1999 1 HIV Prevalence, Females 15-24, 0.03-0.06 % 1999 1 HIV Prevalence, Males 15-24, 0.02-0.1 % 1999 1

17. Infectious Diseases Control Indicators Indicator Value Data Unit Year Source TB Incidence Rate 177 per 100,000 pop 19981 Case Detection Rate 5.2 % 1998 1 TB (DOTS) Treatment Success Rate 65.9 % 1998 1 Malaria 82,526 # of cases 2000 2 reported

18. Estimated Total fertility rate per Woman YearFertility Rate 19856.7 19906.2 19955.4 20004.6 20053.8 20103.2 20152.7 20202.4 20252.3

19. Population Projections & Estimates 1980 85,219,117 1990113,975,232 2000 141,553,775 2010 171,373,158 2020 199,744,808

22. Health Expenditure Total health expenditure Total expenditure on health as % of GDP, 2000Total expenditure on health as % of GDP, 2000 4.1 Per capita total expenditure on health at average exchange rate (US$), 2000Per capita total expenditure on health at average exchange rate (US$), 200018 Per capita total expenditure on health in international dollars, 2000Per capita total expenditure on health in international dollars, 2000 76

23. Health Expenditure II Public health expenditure General Government expenditure on health as % of total expenditure on health, 2000 General Government expenditure on health as % of total expenditure on health, 2000 22.9 General Government expenditure on health as % of total general government expenditure, 2000 General Government expenditure on health as % of total general government expenditure, 2000 4.0 Per capita government expenditure on health at average exchange rate (US$), 2000 Per capita government expenditure on health at average exchange rate (US$), 2000 4 Per capita government expenditure on health in international dollars, 2000 17 Per capita government expenditure on health in international dollars, 2000

24. Health Expenditure III Sources of public health expenditure Social security expenditure on health as % of general government expenditure on health, 2000 Social security expenditure on health as % of general government expenditure on health, 2000 50.0 External resources for health as % of general government expenditure on health, 2000 External resources for health as % of general government expenditure on health, 2000 8.2 Private health expenditure Private expenditure on health as % of total expenditure on health, 2000 Private expenditure on health as % of total expenditure on health, 2000 77.1 Sources of private health expenditure Prepaid plans as % of private expenditure on health, 2000 Prepaid plans as % of private expenditure on health, 2000 0 Out-of-pocket expenditure on health as % of total expenditure on health, 2000 Out-of-pocket expenditure on health as % of total expenditure on health, 2000 77.1