East, Central and Southern Africa Health Community
Fostering Regional Cooperation for Better Health
Zambia

Zambia in the ECSA Health Community

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Zambia was among the founding members of ECSA HC in 1974. Zambia has hosted the ECSA Health Ministers conference twice in 1972 and 2003. Zambia has also chaired the advisory committee in 1976, 1977, 1980, 1988 and 2005.
Like all other founding members, the ministry of Health Zambia has consistently supported the activities and programmes of the ECSA Health community over the last three decades. Zambia’s financial contribution to the ECSA Health Community has ensured that the secretariat functions continue to be executed in a timely manner in line with the resolutions of the Ministers of health.
Since 1974 Ministers of Health in Zambia have ensured that the country continues to share its experiences and challenges in implementation of various health programmes during ECSA forums such as the Directors expert committee, programme expert committees, the forums for best practice in health care and the annual ECSA Health Ministers Conference. Senior Ministry officials led by permanent secretaries have held various leadership roles in ECSA’s expert committees and played their part in ensuring the organization remains relevant, focused and responsive to the needs for the member countries.

 
1.0 Overview of key indicators
a. Socio-economic and Demographic
Indicator
Value
Source
GDP growth rate.
6.3%
CSO 2008
Population dependency ratio (under 15 and over 65 years)
91 (Child Dependency); 6 (Old Age Dependancy)
UN Data 2010
Life expectancy at birth (all gender)
48 (M); 52 (F)
Census 2000
Population growth rate
2.4% p.a
Census 2000
 
b. Maternal and Child Health & Family and Reproductive Health
Indicator
Value
Source
Infant mortality rate per 1000 live births
70
ZDHS 2007
Maternal mortality rate per 100 000 live births
591
ZDHS 2007
Under five mortality rate per 1000 live births
119
ZDHS 2007
Births attended by skilled health personnel
47%
ZDHS 2007
Contraceptive prevalence
41%
ZDHS 2007
Full immunization coverage amongst 1 year olds
90%
ZDHS 2007
ANC coverage (%) at least one visit
97%
ZDHS 2007
Unmet need for Family Planning
14%
ZDHS 2007
Total fertility rate
6.2
ZDHS 2007
 
c. HIV/AIDS, TB and Malaria 
Indicator
Value
Source
Adult (15-49) HIV prevalence
14.3%
ZDHS 2007
Condom use at last high-risk sex
44%
ZDHS 2007
PMTCT coverage
66.4%
PRBS 2009
Tuberculosis prevalence per 100 000 population
597
WHO Report on TB Control 2008
Tuberculosis treatment success under DOTS
86%
NTP 2009
% of pregnant women sleeping under an ITN
33%
ZDHS 2007
 
d. Health Systems
Indicator
Value
Source
General government expenditure on health as % of GDP
1.6%
NHA 2006
Out of pocket expenditure as a % of private expenditure on health
79.9%
NHA 2006
No. of doctors per 10 000 population
0.64
MoH PMEC 2009
No. of nurses per 10 000 population
5.7
MoH PMEC 2009
No. of health workers per 10 000 population
9.35
MoH PMEC 2009
Client Satisfaction Rate
No data
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