64 / 74
CARDIOVASCULAR JOURNAL OF AFRICA • Volume 29, No 6, November/December 2018
396
AFRICA
37 TANZANIA
Estimated RHD prevalence: 5.7
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 45
Maternal Mortality: 398
Contraceptive prevalence < 60%
38 ANGOLA
Prevalence of RHD: 5.7
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 32
Maternal Mortality: 477
Contraceptive prevalence: < 20%
39 ZAMBIA
Estimated RHD prevalence: 5.7
Fertility Rate: > 6.1
Maternal Death risk: 1 in 79
Maternal Mortality: 224
Contraceptive prevalence: < 60%
40 MALAWI
Estimated RHD prevalence: 5.7
Prevalence by echo screening: 34
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 29
Maternal Mortality: 634
Contraceptive prevalence: < 60%
41 NAMIBIA
Prevalence of RHD: 5.7
Fertility Rate: < 4.0
Maternal Death: 1 in 100
Maternal Mortality: 265
Contraceptive prevalence: < 40%
42 BOTSWANA
Prevalence of RHD: 5.7
Fertility Rate: < 4.0
Maternal Death risk: 1 in 270
Maternal Mortality: 129
Contraceptive prevalence: < 60%
43 ZIMBABWE
Prevalence of RHD: 5.7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 52
Maternal Mortality: 443
Contraceptive prevalence: ≤ 60%
44 MOZAMBIQUE
Prevalence of RHD: 5.7
Prevalence by echo screening: 30.4
per 1 000
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 40
Maternal Mortality: 489
Contraceptive prevalence: < 20%
45 SWAZILAND
Prevalence of RHD: 5.7
Fertility Rate: < 4.0
Maternal Death risk: 1 in 76
Maternal Mortality: 389
Contraceptive prevalence: < 60%
46 SOUTH AFRICA
Prevalence of RHD: 5.7
Prevalence by echo screening: 20.2
per 1 000
Fertility Rate: < 4.0
Maternal Death: 1 in 300
Maternal Mortality: 138
Contraceptive prevalence: ≤ 60%
47 LESOTHO
Prevalence of RHD: 5.7
Fertility Rate: < 4.0
Maternal Death risk: 1 in 61
Maternal Mortality: 487
Contraceptive prevalence: ≤ 60%
1 WESTERN SAHARA
Prevalence of RHD: 1.8
Fertility Rate: < 4.0
Maternal Death risk: N/Av
Maternal Mortality: N/Av
Contraceptive prevalence: N/Av
2 MORROCO
Prevalence of RHD: 1.8
Fertility Rate: < 4.0
Maternal Death risk: 1 in 320
Maternal Mortality: 121
Contraceptive prevalence: ≥ 60%
3 ALGERIA
Prevalence of RHD: 1.8
Fertility Rate: < 4.0
Maternal Death risk: 1 in 240
Maternal Mortality: 140
Contraceptive prevalence: ≥ 60%
4 TUNISIA
Prevalence of RHD: 1.8
Fertility Rate: < 4.0
Maternal Death risk: 1 in 710
Maternal Mortality: 62
Contraceptive prevalence: ≥ 60%
5 LIBYA
Prevalence of RHD: 1.8
Fertility Rate: < 4.0
Maternal Death risk: 1 in 4,200
Maternal Mortality: 9
Contraceptive prevalence: < 60%
6 EGYPT
Prevalence of RHD: 1.8
Prevalence by echo screening: 19.6
per 1 000
Fertility Rate: < 4.0
Maternal Death risk: 1 in 810
Maternal Mortality: 33
Contraceptive prevalence: ≥ 60%
7 SUDAN
Prevalence of RHD: 1.8
Prevalence by echo screening: 61.5
per 1 000
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 72
Maternal Mortality: 311
Contraceptive prevalence: < 20%
8 SOUTH SUDAN
Prevalence of RHD: 1.8
Fertility Rate: –
Maternal Death risk: 1 in 26
Maternal Mortality: 789
Contraceptive prevalence: < 20%
22 CHAD
Prevalence of RHD: 5.7
Fertility Rate: > 6.1
Maternal Death risk: 1 in 18
Maternal Mortality: 856
Contraceptive prevalence: < 20%
23 CAMEROON
Prevalence of RHD: 5.7
Prevalence by echo screening: 5.8%
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 35
Maternal Mortality: 596
Contraceptive prevalence: < 40%
24 Central African Republic
Prevalence of RHD: 5.7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 27
Maternal Mortality: 882
Contraceptive prevalence: < 40%
25 EQUATORIAL GUINEA
Prevalence of RHD: 5.7
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 61
Maternal Mortality: 342
Contraceptive prevalence: < 20%
26 GABON
Prevalence of RHD: 5.7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 85
Maternal Mortality: 291
Contraceptive prevalence: < 40%
27 CONGO BRAZZAVILLE
Prevalence of RHD: 5.7
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 45
Maternal Mortality: 442
Contraceptive prevalence: ≤ 60%
28 Democratic Republic of
the Congo
Prevalence of RHD: 5.7
Fertility Rate: > 6.1
Maternal Death risk: 1 in 24
Maternal Mortality per: 693
Contraceptive prevalence: < 40%
29 ERITREA
Prevalence of RHD: 5.7
Prevalence by echo screening: 2.3
per 1 000
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 43
Maternal Mortality: 501
Contraceptive prevalence: < 40%
30 ETHIOPIA
Prevalence of RHD: 5.7
Prevalence by echo screening: 37.5
per 1 000
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 64
Maternal Mortality: 353
Contraceptive: < 40%
31 DJIBOUTI
Prevalence of RHD: 5.7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 140
Maternal Mortality: 229
Contraceptive prevalence: < 40%
32 SOMALIA
Prevalence of RHD: 5.7
Fertility Rate: > 6.1
Maternal Death risk: 1 in 22
Maternal Mortality: 732
Contraceptive prevalence: < 40%
33 UGANDA
Prevalence of RHD: 5.7
Prevalence by echo screening: 14.8
per 1 000
Fertility Rate: > 6.1
Maternal Death risk: 1 in 47
Maternal Mortality: 343
Contraceptive prevalence: < 40%
34 KENYA
Prevalence of RHD: 5-7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 42
Maternal Mortality: 510
Contraceptive prevalence: < 60%
35 RWANDA
Prevalence of RHD: 5.7
Prevalence by echo screening: 6.8
per 1 000
Fertility: 4.1–5.0
Maternal Death risk: 1 in 85
Maternal Mortality: 290
Contraceptive prevalence: < 60%
36 BURUNDI
Prevalence of RHD: 5.7
Fertility Rate: > 6.1
Maternal Death risk: 1 in 23
Maternal Mortality: 712
Contraceptive prevalence: < 40%
9 SENEGAL
Prevalence of RHD: 5.7
Prevalence by echo screening: 11.5
per 1 000
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 61
Maternal Mortality: 315
Contraceptive prevalence: < 20%
10 MAURITANIA
Prevalence of RHD: 5.7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 36
Maternal Mortality: 602
Contraceptive prevalence: < 20%
11 MALI
Prevalence of RHD: 5.7
Fertility Rate: > 6.1
Maternal Death risk: 1 in 27
Maternal Mortality: 587
Contraceptive prevalence: < 20%
12 NIGER
Prevalence of RHD: 5.7
Fertility Rate: > 6.1
Maternal Death risk: 1 in 23
Maternal Mortality: 553
Contraceptive prevalence: < 20%
13 NIGERIA
Prevalence of RHD: 5.7
Prevalence by echo screening: 9.8%
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 22
Maternal Mortality: 814
Contraceptive prevalence: < 20%
14 BENIN
Prevalence of RHD: 5.7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 51
Maternal Mortality: 405
Contraceptive prevalence: < 20%
15 TOGO
Prevalence of RHD: 5.7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1–58
Maternal Mortality: 368
Contraceptive prevalence: < 40%
16 GHANA
Prevalence of RHD: 5.7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 74
Maternal Mortality: 319
Contraceptive prevalence: < 40%
17 IVORY COAST
Prevalence of RHD: 5.7
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 32
Maternal Mortality: 645
Contraceptive prevalence: < 40%
18 LIBERIA
Prevalence of RHD: 5.7
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 28
Maternal Mortality: 725
Contraceptive prevalence: < 20%
19 SIERRA LEONE
Prevalence of RHD: 5.7
Fertility Rate: 4.1–5.0
Maternal Death risk: 1 in 17
Maternal Mortality: 1,360
Contraceptive prevalence: < 20%
20 GUINEA
Prevalence of RHD: 5.7
Fertility Rate: 5.1–6.0
Maternal Death risk: 1 in 29
Maternal Mortality: 679
Contraceptive prevalence: < 20%
21 BURKINA FASO
Prevalence of RHD: 5.7
Fertility Rate: > 6.1
Maternal Death risk: 1 in 48
Maternal Mortality: 371
Contraceptive prevalence: < 40%
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
21
20
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
38
39
40
41
42
43
44
45
46
47
37
Fig. 1.
Estimated WHO prevalence of rheumatic heart disease per 1 000, fertility rate, maternal mortality rate and contraceptive
prevalence in African countries, grouped by region (southern, northern, central, western and eastern). Prevalence by echo
screening (where available from community-based studies) is per 1 000.