1. ANE/E&E SOTA October 2002 Trend Analysis and Sector Profiles ANE and E&E Regions

2. ANE/E&E SOTA October 2002 Total Fertility, 1990-2000 Replacement Level Fertility 2.1 Source: DHS/RHS1990-2001 and PRB 2001 Data Sheet.

3. ANE/E&E SOTA October 2002 Maternal Mortality Ratios and Attended Births in ANE Region Source: UNICEF State of the World’s Children, 2002. DHS and WHO/Hill data used when UNICEF data not available. *No current USAID PHN funding

4. ANE/E&E SOTA October 2002 Abortion and Non-Abortion Maternal Mortality Rate (MM) in Romania 1965, 1980-1999 Source: 1999 National Commission for Statistics/Romania; UNFPA ‘65 ‘80 ‘81 ‘82 ‘83 ‘84 ‘85 ‘86 ‘87 ‘88 ‘89 ‘90 ‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 Number of deaths per 100,000 women

5. ANE/E&E SOTA October 2002 Stagnating Decline in Neonatal Mortality in ANE Region Note: Countries include those that have received USAID support for over 10 years Source: The State of the World’s Children 2002, UNICEF 28% decline 32% decline 18% decline

6. ANE/E&E SOTA October 2002 Estimated 2007 plan average** 35APP 99 baseline average 51 BUCEN average* 1997 44APP 99 plan average 1999 47 Source: US BUCEN International Database * Country (unweighted average) ** 2007 Plan from APP 2000 *** When 1990 data were unavailable, the closest available year was used. Albania, Armenia, Azerbaijan, Belarus, Bosnia, Georgia, Kazakstan, Kyrgystan, Lithuania, Moldova, Russia, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan all experienced increases in their under-5 mortality rates. = reduction in rate 1990 1997 1997 1990 = increase in rate KEY Under-5 mortality rate USAID-assisted countries-progress towards benchmarks Europe/NIS Bars reflect change in under-5 mortality rate, 1990-1997

7. ANE/E&E SOTA October 2002 Malaria Deaths in ANE = 1.1 million ANE Region 10% AFR Region Malaria in ANE Region Cure Rate (%) Falling Cure Rates for Falciparum Malaria in Southeast Asia Source: SE Asia J Trop Med Public Health 1999; 30: 68 Example from Thailand

8. ANE/E&E SOTA October 2002 Trends in TB Case Notification Rates in E&E DOTS Countries Source: WHO Global Tuberculosis Report, 2002

9. ANE/E&E SOTA October 2002 Low Prevalence  Low Risk in Bangladesh Source: Bangladesh BSS FSW (9% married) IDU (40% married) 33% Visit FSW 34% Visit FSW Rickshawpullers MSM (46% married) (76% married) Visit FSW 9% are IDU 2% are IDU 1% are IDU 69%

10. ANE/E&E SOTA October 2002 HIV Trends in Eastern Europe & Central Asia and Western Europe, 1993 - 2001 Source: Report on the Global HIV/AIDS Epidemic, UNAIDS July 2002

11. ANE/E&E SOTA October 2002 Source: US Bureau of the Census, International Data Base Cambodia Romania Population Pyramids, 2000 Population in Thousands

12. ANE/E&E SOTA October 2002 Causes of Death in ANE Region, 2000 Source: WHO World Health Report, 2001

13. ANE/E&E SOTA October 2002 Causes of Death in E&E Region, 2000 Source: WHO World Health Report, 2001

14. ANE/E&E SOTA October 2002 Population Sector

15. ANE/E&E SOTA October 2002 Population and Economic Growth Rates in ANE Region * No current USAID PHN funding Source: (GDP) World Bank, World Development Indicators 2002, and (Pop) Bureau of Census, International Database 2002. No economic growth data available for Afghanistan.

16. ANE/E&E SOTA October 2002 Percentage of Population Living on Less Than $2 a Day in E&E Region Source: 2001 World Development Report/ The World Bank

17. ANE/E&E SOTA October 2002 Total Fertility and Modern Contraceptive Prevalence in ANE Region * No current USAID PHN funding Source: PRB 2001 Population Data Sheet

18. ANE/E&E SOTA October 2002 Contraceptive Prevalence Modern Methods in E&E Region Source: DHS or RHS, most recent surveys, 1993-2001, or PRB 2001 Population Data Sheet if DHS/RHS data not available.

19. ANE/E&E SOTA October 2002 Total Fertility Rate and Total Induced Abortion Rate in E&E Region Source: DHS or RHS, data from most recent survey, 1993-2001, or PRB 2001 Population Data Sheet if DHS/RHS data not available.

20. ANE/E&E SOTA October 2002 Outcome of Pregnancy in E&E Region Source: CDC RHS Surveys and Relationships between Abortion and Contraception in Republics of the former Soviet Union by H.I. Goldberg and F. Serbanescu (August 2001). Data ending five years before survey.

21. ANE/E&E SOTA October 2002 Unmet Need for Family Planning Services (Modern Methods) in E&E Region Source: DHS or RHS, data from most recent survey, 1993-2000, or PRB 2001 Population Data Sheet if DHS/RHS data not available.

22. ANE/E&E SOTA October 2002 Maternal and Child Health Sector

23. ANE/E&E SOTA October 2002 Infant Mortality in ANE Region, 1990-2002 Source: US Bureau of the Census, International Database, 2002. Uttar Pradesh data from DHS 1992-93 and 1998-99. * No current USAID PHN funding World Summit Goal (2000)=50

24. ANE/E&E SOTA October 2002 Infant Mortality in E&E Region, 1990-2000 Source: DHS or RHS, data from most recent survey, 1990-2001. UNICEF, State of the World’s Children 2002, 2000 data for CZ, MD, RU, and UA.

25. ANE/E&E SOTA October 2002 Estimated 2007 plan** 74 APP 99 baseline average 60 BUCEN average* 1997 73 APP 99 plan average 1999 56 Source: US BUCEN International Database * Country (unweighted average) ** 2007 Plan from APP 2000 *** When 1990 data were unavailable, the closest available year was used. = reduction in rate 1990 1997 1997 1990 = increase in rate KEY Under-5 mortality rate USAID-assisted countries-progress towards benchmarks Asia/Near East Bars reflect change under-5 mortality rates, 1990-1997

26. ANE/E&E SOTA October 2002 Under-5 Mortality Rates and Immunization Coverage in ANE Region, 2000 *No current USAID PHN funding Source: UNICEF, State of the World’s Children, 2002

27. ANE/E&E SOTA October 2002 Immunization Coverage in Selected E&E Countries 63.5%94%Tajikistan 98.2% Kyrgyzstan 61.4%97.7%Georgia 63.4%87.5%Armenia 72%94.7%Azerbaijan DPT3 Coverage- Surveys by 12 Months of Age DPT3 Coverage – Official Figures by Child* Country Source: Azzam, H. “GAVI and the Europe and Eurasia Region.” USAID, October 2000. Data for Azerbaijan, Armenia, Georgia and Kyrgyzstan from UNICEF/WHO Joint Report Form on Vaccine-Preventable Diseases. *Official national immunization rates are per child and not by 12 months of age as is the international standard of reporting. In Azerbaijan, the government just adopted the 72% figure of the EPI survey, the only one to do so. Georgia data collected for immunization between the age of 0-27 months. UNICEF’s data for the same period of time indicate 80.5% coverage. Tajikistan’s official data is for 1998.

28. ANE/E&E SOTA October 2002 Maternal deaths per 100,000 live births Less than 30 Between 30 and 60 Between 60 and 90 More than 90 Source: Hill, Abou Zahr, and Wardlaw, 2001 Maternal Mortality Ratios in E&E Region, 1995

29. ANE/E&E SOTA October 2002 HIV/AIDS Sector

30. ANE/E&E SOTA October 2002 Adult HIV Prevalence in ANE Region, 2001 Source: UNAIDS, July 2002 and the National AIDS Control Organization India 0.8% Maharashtra >2% Andhra Pradesh >2% Tamil Nadu 1-2% Karnataka 1-2% Manipur 1-2% Myanmar 1.99% Cambodia 2.7% Thailand 1.8%

31. ANE/E&E SOTA October 2002 Osh Yange Yul Temirtau Almaty Country Boundary Major Road Narcotics Traffic Capital City Other Major City Source: Synergy, 2001. HIV/AIDS and Drug Trafficking Routes in Central Asia

32. ANE/E&E SOTA October 2002 Cumulative reported HIV infections per million population in Eastern European countries: 1993-2001 Estonia* Kazakhstan Latvia Lithuania Moldova, Republic of Russian Federation Ukraine 0 300 600 900 1,200 1,500 1,800 199319941995199619971998199920002001 Projected Cases per million population * actual 2001 year-end data Source: National AIDS Programmes (2001) HIV/AIDS surveillance in Europe. Mid-year report. Data compiled by the European Centre for the Epidemiological Monitoring of AIDS

33. ANE/E&E SOTA October 2002 Source: Synergy, 2001.

34. ANE/E&E SOTA October 2002 Source: Synergy, 2001. DRAFT

35. ANE/E&E SOTA October 2002 HIV Prevalence Rate and Adults Living with HIV/AIDS in E&E Region, 2001 Source: UNAIDS, July 2002. CountryHIV Prevalence Rate Estonia1.0 Ukraine1.0 Russia0.9 Latvia0.4 Belarus0.3 Armenia0.2 Moldova0.2 Hungary0.1 Kazakhstan0.1 Lithuania0.1 Poland0.1 Eastern Europe & Central Asia 0.5 Percent Adults Living with HIV/AIDS in Eastern and Central Asia Total Adults Living with HIV/AIDS : 1,000,000

36. ANE/E&E SOTA October 2002 Infectious Diseases Sector

37. ANE/E&E SOTA October 2002 Causes of Death in ANE Region, 2000 WHO regions Source: WHO World Health Report, 2001

38. ANE/E&E SOTA October 2002 Infectious Disease Deaths in ANE Region, 2000 Source: WHO World Health Report, 2001

39. ANE/E&E SOTA October 2002 Estimated New Tuberculosis Cases in ANE Region, 2000 Source: WHO Global Tuberculosis Report, 2002

40. ANE/E&E SOTA October 2002 Tuberculosis Incidence in ANE Region, 2000 Source: WHO Global Tuberculosis Report, 2002 * No current USAID PHN funding

41. ANE/E&E SOTA October 2002 Malaria Cases in ANE Region, 1999/2000 Source: WHO, Roll Back Malaria Web site, Country Profiles CountryNumber of Malaria Cases 1999/2000 Afghanistan395,581 Bangladesh60,396 Cambodia62,439 China18,620 India1,910,000 Laos40,006 Myanmar124,630 Nepal7,616 Pakistan82,526 Philippines36,596 Sri Lanka210,039 Thailand91,703 Vietnam74,316

42. ANE/E&E SOTA October 2002 Emerging Issues

43. ANE/E&E SOTA October 2002 Life Expectancy in E&E Region, 1990-2000 2.5% Increase 2.5% Decrease Source: WHO Regional Office for Europe, European Health for All Database Note: CEE Countries include Albania, Bulgaria, Hungary, Poland, Romania, Czech Republic, Slovakia, Bosnia and Herzegovina, Croatia, Slovenia, Macedonia, and Yugoslavia. NIS Countries include Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakhstan, Kyrgyzstan, Lithuania, Latvia, Moldova, Russia, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan. Men Women CEE NIS CEE NIS 2.2% Increase 1.1% Decrease

44. ANE/E&E SOTA October 2002 Distribution of Chronic Disease Deaths in E&E Region, 2000 Source: WHO World Health Report, 2001

45. ANE/E&E SOTA October 2002 Trends in Cigarette Consumption in E&E Region, 1990s Note: Turkey data is for 1998. Source: The American Cancer Society, Inc. Tobacco Control Country Profiles, 2000.