epidemics such as measles and poliomyelitis and the limited response by the health care system are worsening the situation health indicators even improved during the s the infant mortality declined from per live births in to in and the under mortality rate fell from to per live births international sanctions imposed during the s and the consequent economic development rollback however took a toll on the health system and health outcomes life expectancy at birth and healthadjusted life expectancy did not improve among young people between and