The Progress of Nations 2000

I I I

Poor
c oimtrie s
pay for
vaccines
1(e1 i(('lsoll 'a1igl110 1(1ro $1 10()to
ate5 fiarle siii g;25s01'onge1''of XII('110' (tothe.hNalthof ct'h4i lax', t(l100
of the resoures thl(' ('0515.tt
sarily ls acies i i(' ('051. naIilt
otte24i t hei r l'Il l'' I.SiN Iflo sei~t
ar inanHicli~~ aing% ar Sl fiall(IallzcostNia ao 1! 24, a'ioaio'e
Ifth cine'1l' ll'osthas at.og
hoe aofthe(fse c1'Ilulntries hve are

and1( 111((5 ilcs I'ir lg (til'tl to

Investing in health
Low-income countries financing 25% or more of routine EPI vaccines*

Burkina Faso**
Chad**
Ghana
Honduras
Mali* *
Nicaragua

%financed
100
100
100
100
100
100

Nigeria
Pakistan
Senegal* *
India
Cote dlIvoire* *
Niger* *

%financed
100
100
100
98
95
80

Toga
Viet Nam
Nepal
Uganda
Mongolia
Tiurkmen istann

O financed
80
73
53
50
40
36

Gambia
Moldova, Rep.
Cameroon
Guinea
Haiti
Lesotho

0 financed
30
29
27
25
25
25

Bottom of the ladder
Low-income countries financing less than 25% of routine EPI vaccines *

Benin
Ethiopia
Madagascar
Sudan
Tanzania
Zambia
Armenia
Central African Rep.

fina

nced
5 Kenya
5 Sierra Leone
0 Burundi
0 Malawi
0 Afghanistan
0 Angola
7 Azerbaijan
4 Bhutan

%financed
3
3
2
2
0
0
0
0

% financed
Bosnia/Herzegovina 0
Cambodia 0
Congo 0
Eritrea 0
Guinea-Bissau 0
Lao PDR 0
Liberia 0
Mauritania 0

Mozambique
Myanmar
Rwanda
Somalia
Tajikistan

~O financed
0
0
0
0
0

Tetanus: Infants and
mothers at high risk

till first Ilonith11 (f iif'e fromo n 'latal
('1111nhs, ant I ireIly lpreXvlentaiblI dis1999. N igllia ias till'secondl highest
Iltanuls (('Ill's ill lllwXbornl's a
ret'1iio(f unsanlitary b1 ii'th prlactic'es,
30,000) diatihs anallaix, xwitih atias(illaltite1111'e fXXcilVtsh(I' itlnlbeteasil
t il. 'a 'itga'titIt lastsIiere 1'ee I i(Is(p'o

of tetanuls toxoili Xaccline' (TT') ilo'Xiies c"omp1'lete fllItletionilagainist
Aite'h' (p1r1foi'cteain'tst teXXIIn(I
D>Pi, (di1'Atheia/jo'tntssis/tn(itis)
As higih as tih'feleonatai tetanuls tolil
is, it 1 feilesents a foat'ked dIil'ci'ase' ifrlii
the 800,000 niewboronlieatihs ini 1985,
thanks to(1 ui zaltt ti on fl (fregnanit
tetnus ra''I5wtehatilldaeee dto lessl~~
thaneS1 eonatal'herl'. csepe

The tetanus toll
Estimated neonatal deaths*
India 48,600
Nigeria 34,600
Pakistan 21,600
Ethiopia 1 3,400
Bangladesh 10,400
Congo, Dem. Rep. 10,000
Somalia 8,800
China 8,600
Afghanistan 4,200
Indonesia 4,]100
Niger 3,600
Mozambique 3,000
Nepal 3,000
Angola 2,700
Chad 2,500
Mali 2,400
Senegal 2,300
Yemen 2,300
Sudan 2,200
Ghana 2,000
Burkina Faso 1,600
Cambodia 1,500
Cameroon 1,500
Cote dilvoire 1,100
Liberia 600
Mauritania 200
Guinea-Bissau 100
Total 196,900
*The numbers of deaths in the table are estimated,
as mast neonatal deaths occur at home, before the
baby reaches two meeks of age, and neither the
birth nor the death is reported.