The fertility rate is at about 5 births per woman.[54] A major cause of deaths of neonates is by severe infection.[54] Malaria and Tubercolosis both are common in Eritrea.[54] HIV prevalence among the 15-49 group exceeds 2%.[54] In 2002, 28% of births were attended by skilled health personnel.[54] Per capita expenditure on health is low in Eritrea.[54] In the last decade of the 20th century, maternal mortality has decreased considerably
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