Population Action International

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Highest risk category (26 countries)
All countries in this category have low incomes; all are in sub-Saharan Africa except Haiti, Yemen, and Laos—the poorest countries in their respective regions—and Bangladesh. Skilled care during pregnancy and childbirth is limited, especially in Ethiopia. Infant and maternal mortality are high or very high. Contraceptive use is generally low and there is very high unmet need for contraception. At about 40 percent, Yemen, Rwanda, Laos and Haiti have the highest unmet need for contraception in the world. Very early marriage is common, adolescent fertility is high and abortion policies are mostly restrictive. Levels of HIV infection are moderate to high.
  Reproductive Risk Index (RRI)
Niger
Chad
Mali 68
Yemen 62
Ethiopia 61
Guinea-Bissau 61
Sierra Leone 60
Somalia 60
Central African Republic 59
Uganda 59
Guinea 58
Nigeria 58
Mozambique 58
Burkina Faso 57
Malawi 57
Bangladesh 56
Côte d'Ivoire 56
Mauritania 55
Rwanda 53
Lao People's Democratic Republic 52
Senegal 50
United Republic of Tanzania 50
Lesotho 50
Madagascar 49
Cameroon 49
Haiti 49
 
High risk category (24 countries)
Half of the countries in this category are in sub-Saharan Africa. Skilled care during pregnancy and childbirth is generally available, except in Nepal and Cambodia. Maternal and infant mortality is high and very high in three quarters of the countries. Unmet need for contraception is relatively significant and is highest in Western Africa. Proportion of family planning demand met is highest in Central America and lowest in West Africa and India and Zimbabwe. Very early marriage is common and adolescent fertility is generally high. Abortion is generally restricted to save a woman's life or health. All countries with low levels of HIV/AIDS are outside sub-Saharan Africa.
  Reproductive Risk Index (RRI)
Eritrea 48
Zambia 47
Nepal 46
Benin 46
Burundi 46
Kenya 46
Togo 45
Pakistan 43
Congo 42
Swaziland 42
Gabon 41
Zimbabwe 41
Cambodia 40
Guatemala 39
Papua New Guinea 38
Iraq 38
Ghana 37
Sudan 37
India 34
Nicaragua 34
Honduras 33
Myanmar 32
Bolivia 32
Namibia 30
 
Moderate risk category (26 countries)
Nine developing regions (including most of South America and the three wealthiest nations in sub-Saharan Africa) are represented in this category. Antenatal care and skilled attendance at delivery are generally high. The countries are split between low and moderate levels of maternal mortality. Infant mortality is low. A significant proportion of family planning demand is met. Levels of contraceptive use, unmet need for family planning, very early marriage, and adolescent fertility vary across countries. Abortion is generally restricted to cases where they are necessary to save a woman's life or health. HIV prevalence and infant mortality are low except in South Africa and Botswana.
  Reproductive Risk Index (RRI)
Panama 29
Egypt 29
Philippines 29
El Salvador 29
Botswana 28
Indonesia 28
Dominican Republic 27
Ecuador 26
Iran (Islamic Republic of) 25
Venezuela 25
Brazil 25
Oman 25
Peru 24
Paraguay 24
Mexico 24
South Africa 23
Morocco 23
Costa Rica 21
Lebanon 21
Saudi Arabia 20
Turkey 19
Libyan Arab Jamahiriya 19
Chile 19
Kuwait 18
Mauritius 18
Uruguay 18

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