State of maternal and child health inequality

Introduction:Group work has done by participants

of Mongolia

 WHO: Regional Capacity Workshop

Outline

Overview Selected indicators Latest statusTrends Benchmarking Conclusion

Latest status score

Absolute Relative Absolute Relative Absolute Relative Absolute Relative Absolute Relative Absolute Relative

Contraceptive prevalence (modern methods) 1 2 1 2 1 2 1 2 1 2.0 1.0

Antenatal care (at least one visit)1 1 1 1 1 1 1 1 1 1.0 1.0

Births attended by skilled health personnel 1 1 1 1 1 1 1 1 1 1.0 1.0

Early initiation of breastfeeding 2 3 2 1 1 1 1 3 2 2.0 1.5

DPT3 immunization 1 1 1 1 1 1 1 1 1 1.0 1.0

RMCH interventions 2 1 1 1 1 1 2 1

Stunting (height for age) in children under 5 years 2 3 3 2 2 1 1 3 3 3 3 2.4 2.4

CH outcomes 3 3 2 2 1 1 3 3 3 3 2.4 2.4

Average inequality scoreIndicator

National average

Inequality

Wealth Education Sex Area Region

Trend score

Absolute Relative Absolut Relative Absolute Relativ Absolut Relative Absolute Relative Absolute Relativ

Contraceptive prevalence (modern methods) 1 1 1 1 1 1 1 1 1 1.0 1.0

Antenatal care (at least one visit) 1 1 1 1 1 2 2 1 1 1.3 1.3

Births attended by skilled health personnel 1 2 2 1 1 2 2 1 1 1.5 1.5

Early initiation of breastfeeding 2 3 3 2 2 2 2 3 3 2.5 2.0

DPT3 immunization 1 1 1 1 1 1 1 1 1 1 1 1.0 1.0

RMCH interventions 2 2 1 1 1 1 2 2 1 1 1.4 1.4

Stunting (height for age) in children under 5 years 1 3 3 1 1 1 2 3 3 3 3 1.8 2.4

CH outcomes 3 3 1 1 1 2 3 3 3 3 2.2 2.4

Average inequality IndicatorNational average

Inequality Wealth Education Sex Area Region

Selected indicators

Data set: MICS 2005 and 2010 Early initiation of breast feeding Stunting Indicator selecting rationale:

For early initiation of breast feeding, situation is getting worse even though inequality is decreased

For stunting, situation is improved but there is still existing inequality, and

There is no inequality and almost full coverage for other indicators

Absolute Relative Absolute Relative Absolute Relative Absolute RelativeEarly initiation of breastfeeding

RD=12.6SII=-6.4

RR=1.2RCI=-0.01

RD=0.9SII=0.9

RR=1.01RCI=0.02 RD=0.9 RR=1.01

RD=15.9BGV=37.6

RR=1.2T=0.004

IndicatorNational average

Inequality

Wealth Education Area Region

1. Early initiation of breastfeeding, 2010

Early initiation of breastfeeding

(by region)

Early initiation of breastfeeding (by wealth)

Early initiation of breastfeeding BENCHMARKING

Absolute Relative Absolute Relative Absolute Relative Absolute Relative

Stunting (height for age) in children under 5 years

RD=18.6SII=-22.7

RR=3.8RCI=-0.2

RD=7.7SII=-8.3

RR=1.4RCI=-0.005 RD=7.9 RR=1.7

RD=13.6BGV=23.1

RR=2.3T=0.05

IndicatorNational average

Inequality

Wealth Education Area Region

2. Stunting (height for age) in children under 5 years, 2010

Stunting (height for age) in children under 5

years, by area

Stunting (height for age) in

children under 5 years, by region

2005 20100

102030405060708090

100

01 western

02 khangai

03 central

04 eastern

05 ulaanbaatar

Perc

enta

ge RD=12.3RR=1.6

RD=13.6RR=2.3

Stunting (height for

age) in children under 5 years, by sex

RD=11.4RR=1.4 RD=7.7

RR=1.4

Stunting (height for

age) in children under

5 years, by education

2005 20100

5

10

15

20

25

30

35

40

Q1

Q2

Q3

Q4

Q5

Perc

enta

ge

RD=13.9RR=1.7

RD=18.6RR=3.8

Stunting (height for age) in children under 5 years, by wealth

Stunting (height for age) in children under 5 years BENCHMARKING

Conclusion Early initiation of breastfeeding National average is declining or situation is getting

worse Poorest group mostly use breastfeeding and it is less

among wealthy women Comparing other countries, coverage is not so bad

It can be concluded that…. an action even not urgent is needed and its score

would be “2”

Conclusion Stunting in children aged below 5 National average is declining or situation is good Stunting is higher among poorest group, male babies and in

Western and Eastern regions Comparing other countries, coverage and general situation

are not bad, but in terms of absolute measure of inequality is in mid range. In terms of relative measure, there is high inequality.

Data says us that Mongolian situation is better than Vietnam, but worst than other given countries

It can be concluded that…an action even not urgent is needed and its score

would be “2”

Thank you very much for your attention! Salamat

po!

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