However, Eritrea still faces many challenges. Despite number of physicians increasing from only 0.2 in 1993 to 0.5 in 2004 per 1000 population, this is still very low. Malaria and tuberculosis are common in Eritrea. HIV prevalence among the 15–49 group exceeds 2%. The fertility rate is at about 5 births per woman. Maternal mortality dropped by more than half from 1995 to 2002, although the figure is still high. Similarly, between 1995 and 2002, the number of births attended by skilled health personnel has doubled but still is only 28.3%. A major cause of death in neonates is by severe infection. Per capita expenditure on health is low in Eritrea.