Health Status and Trends

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From 1978 to 2015, life expectancy at birth increased from 46 to 66 years (4,6). The Crude Death Rate (CDR) in 2012 was 7.7 deaths per year per 1,000 inhabitants (7.4 for females and 8.0 for males) (16). From 1978 to 2012, the standardized death rate (SDR) declined from 17.1% to 7.7 % (16). The under-five mortality rate per 1,000 live births declined from 196 in 2000 to 50 in 2014/2015 (8). During the same period, the maternal mortality ratio experienced a reduction from 1,071 to 210 deaths per 100,000 live births.

In 2015, infectious diseases accounted for 63% of outpatient consultations for all age groups in health centres; while acute respiratory infections (27%), malaria (19%), and intestinal parasites (6%) were the most frequent reasons for visit (17).

In 2015, non-communicable diseases (NCDs) accounted for 35% of all deaths in 2015 (17). Among the NCDs, the following categories represent the most common pathologies: injuries and disabilities (41%), cardiovascular diseases (22%), chronic respiratory affections (16%), diabetes (8%), renal diseases (7%) and cancers (6%) (17).