Introduction of the
Annual Report
Dr Ahmed Al Mandhari
WHO Regional Director for the Eastern Mediterranean
Agenda item 3
2
3
Regional Director leads 5-day consultation to
develop a vision for WHO's work in the Region
3
4
Socioeconomic diversity reflected in health care disparities
4
5
5
6
WHO team conducts country functional review
in Somalia, May 2018
6
7
5% of all WHO
collaborating
centres are in
the Region
7
8
8
9
9
10
10
11
11
12
Health for All by All
12
13
“Triple billion” targets of WHO’s GPW 13
1 billion more
people
benefiting from
universal health
coverage
1 billion more
people better
protected from
health
emergencies
1 billion more
people enjoying
better health
and well-being
13
UHC service coverage index, 2015
Source: World Health Organization/World Bank
Regional universal
health coverage is
lower (53%) than
the global average
(64%)
14
15
Low investment in health services
15
In the Region, it is estimated that up
to 55.5 million people face financial
catastrophe and 7.7 million become
poor due to
out-of-pocket payments annually
17
17
18
18
37
54
0 10 20 30 40 50 60 70 80 90 100
Somalia
Afghanistan
Yemen
EMR average
Lebanon
Jordan
Libya
Syrian
Oman
Bahrain
Kuwait
UAE
2015-2016 2011-2012
Death registration in countries of the Region
20122016
Reporting on cause
of death improving
but remains low at
54%
19
19
20
20
21
21
22
22
23
23
24
Strengthening
family
practice to
achieve UHC
24
25
2020
2016
2030
Strategy 2: Bridging programme for
general practioners in family
medicine
Strategy 1: Increase the number of
family medicine specialists
WHO strategies to increase number of family physicians
25
26
18% of hospital
admissions are
associated with
severe adverse
events
26
27
Celebrating National Patient Safety Day
27
28
The private
sector
delivers
3381% of all
health
services
28
29
“Triple billion” targets of WHO’s GPW 13
1 billion more
people
benefiting from
universal health
coverage
1 billion more
people better
protected
from health
emergencies
1 billion more
people enjoying
better health
and well-being
29
30
650 million
people
Diverse
socioeconomic and
geopolitical
environments
Emergencies
A large proportion of the population live in
countries with graded emergencies – huge
health care needs
Nine countries in a fragile situation
30 million displaced people
Disease outbreaks
30
Grade 2 (Libya, Sudan)
Grade 1 (Afghanistan, Pakistan, Palestine)
Ungraded
Grade 3 (Yemen, Iraq, Syria, Somalia)
31
Graded emergencies, as of September 2018
31
32
Grade 2 (Libya, Sudan)
Grade 1 (Afghanistan, Pakistan, Palestine)
Level 3 (Yemen, Iraq, Syria)
Grade 3 (Somalia)
Ungraded
Grade 2 (Libya, Sudan)
Grade 1 (Afghanistan, Pakistan, Palestine)
Grade 3 (Yemen, Iraq, Syria, Somalia)
Ungraded
32
Displaced populations, as of September 2018
Infectious disease outbreaks, as of September 2018
Gastroenteritis
Cholera
Chikungunya fever
Diphtheria
Legend
Acute watery diarrhoea
Crimean-Congo haemorrhagic fever
Middle East respiratory syndrome (MERS)
33
Libya
Sudan
Egypt
Saudi
Arabia
Yemen
Somalia
Afghanistan
Pakistan
Iraq
Typhoid
Chickenpox
33
34
34
35
Emergency
response
35
36
36
37
37
38
38
39
39
40
In 2017, 791 tonnes
of medical supplies
reached 23.5
million people
40
41
41
42
42
43
43
44
44
45
45
46
Rehabilitating
primary health
care
centres in the
Syrian Arab
Republic
46
47
Bridging the
humanitarian
development
peace divide
in health
47
48
“Triple billion” targets of WHO’s GPW 13
1 billion more
people
benefiting from
universal health
coverage
1 billion more
people better
protected
from health
emergencies
1 billion
more people
enjoying
better health
and well-
being
48
49
49
50
Coverage of main malaria interventions falls
short of universal access goal
71
70
21
48
79
51
0 10 20 30 40 50 60 70 80 90 100
Afghanistan
Djibouti
Pakistan
Somalia
Sudan
Yemen
%
Coverage of insecticide treated nets in high-burden countries
50
51
The HIV infection rate is rising,
treatment rates are low
59
76
18
54
50
63
0
10
20
30
40
50
60
70
80
AFR AMR EM EUR SEAR WPR
ART Coverage by WHO Region (%)
51
52
WHO’s Eastern Mediterranean Region has
highest rate of hepatitis C viral infections
7
10
11
14 14
15
0
2
4
6
8
10
12
14
16
AM SEA AF EUR WP EM
Estimated number of persons living with hepatitis C virus (millions) by
WHO region
52
Antibiotic prescription practices in the Region
0 10 20 30 40 50 60 70 80
Bahrain (Kingdom of)
Saudi Arabia
Morocco
Oman
Egypt
Afghanistan
Tunisia
Iran (Islamic Republic of)
Yemen
Syrian Arab Republic
Sudan
Iraq
Mean % of patients receiving antibiotics
Pharmaceutical Sector Country Profiles 2014
53
54
54
55
Regional polio situation, as of October 2018
Endemic
countries:
Pakistan and
Afghanistan
Outbreak country:
Somalia (VDPV2 & 3)
Very high-risk countries:
Somalia, Syrian Arab
Republic, Yemen
High-risk countries:
Djibouti, Iraq, Libya and
Sudan
55
56
Polio vaccination
in Somalia
56
57
National Emergency Action Plans implemented
in Afghanistan and Pakistan
57
58
Cross-border polio transit teams immunize children
58
Nearly 1 in 2 adults in the Region are
overweight/obese
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
55.0%
60.0%
65.0%
70.0%
75.0%
80.0%
85.0%
Age-StandardizedRates(%)
Prevalence of overweight
(BMI≥25), age standardized
(adults 18+) 2010
Prevalence of overweight
(BMI≥25), age standardized
(adults 18+) 2014
Prevalence of obesity (BMI≥30),
age standardized (adults 18+)
2010
Prevalence of obesity (BMI≥30),
age standardized (adults 18+)
2014
59
WHO’s Eastern Mediterranean Region only WHO
region in which tobacco use is increasing
Source: WHO report on the global tobacco epidemic. Geneva: World Health
Organization; 2017 60
61
Eastern Mediterranean Region has second
highest rate of road traffic fatalities
Source: WHO Global status report on road safety 2015 61
62
7586% of
people with
mental health
conditions do
not receive the
treatment they
need
62
63
Air Pollution
56%
Toxic Chemicals
11%
Occupational
Risks
11%
WASH
9%
Food Borne
Diseases
4%
Others 9% Environmental
risks account
for 23% of the
burden of
disease and 854
000 annual
deaths in the
Region
63
64
64
65
65
66
66
67
67
68
World leaders
pledge to end
the TB
epidemic by
2030
68
69
Heads of state commit
to tackling
noncommunicable
diseases and mental
health
69
70
Vision 2023: Health for all by all – A Call for Action
70
71
71
72
Promote health | Keep the world safe | Serve the vulnerable
72
73
73

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Introduction of the Annual Report - English