(2) Output with lower MDGs in comparison with those of the whole country; children malnutrition rate 20.9% in the region versus 16.2% in the country; IMR 30‰ in the region versus 14‰ in country; U5MR 39‰ versus 16‰ in the country; highest unmeet need of pre-natal care in coparrison with the whole country; leading to a picture of lower responsiveness and higher inequity.