70 21. Republic of Burundi, Education and Training Sectorial Development Plan, 2009-2016, 8 June 2009 22. Republic of Burundi, Ministry of the Interior, Preliminary Results of the General Population and Housing Census, Bujumbura, 2009 23. African Union, African Charter on Human and Peoples’ Rights. Article 16: The Right to Good Health 16.1. Improvement of access to health care 16.1.1. Constraints linked to the still relatively high costs of access to health care The 2007 National Health Accounts (CNS) show that health expenditure per capita in Burundi is 18,848 FBU (18$) per annum. This is equivalent to 16.4% of the annual income per capita. Compared to the level of expenditure recommended by the WHO Macro-economic and Health Commission, which is 34$ per capita per year, this amount appears very low. The direct contribution of the households corresponds to 37% of this amount, namely 7,102 FBU, namely about 6% of the annual income per capita. The study by the NGO Cordaid carried out in 2008 shows that health expenditure in the Provinces surveyed corresponds on average to 7.7% of the annual income per capita. This proportion is similar across the different socio-economic groups, from 9.7% for « the poorest » socio-economic group, to 7.4% for the « wealthy ». It increases to 8.9% (7.5% for the poorest) in the Provinces of Bubanza and Cankuzo (where Cordaid has been operating since 2006) and to 12.9% (17.1% for the poorest) in the Provinces of Karusi and Makamba (model/indicator Provinces). 16.1.2. State of implementation of the programmes and projects in relation to PNDS/CSLP objectives. The implementation of the activities advocated by the National Health Development Plan (PNDS 2006-2010) made it possible to achieve the following progress. 16.1.3. Reduction of the maternal and neo-natal mortality rate: Deliveries in the health institutions increased from 41% in 2007 to more than 55 % in 2008 while 50% of the country’s hospitals received competence to respond effectively to obstetrical emergencies (Caesarean sections, etc) which significantly reduced mortality and the disabilities arising from the latter.