The World’s Health Organization (WHO) ranked the world’s health systems in the year 2000. WHO ranked Liberia, Nigeria, Democratic Republic of Congo, Central African Republic and Myanmar as the top 5 countries in need of better healthcare and as the nations with the lowest healthcare quality. While these nations have undergone reforms since the 2000 assessment, they continue to face critical healthcare obstacles. The countries are listed in descending order based on the World’s Health Organization Ranking of the World’s Health Systems.
According to Doctors Without Borders, Liberians suffer from epidemic disease, social violence and healthcare exclusion. During the past twelve years, Liberia’s Ministry of Health has taken steps to address healthcare issues but disease and access to adequate healthcare remain crucial issues in the country. In March 2014, the media announced an outbreak of the Ebola virus in Liberia, suggesting epidemic disease continues to be a primary healthcare concern. Liberian health authorities expressed a concern over the virus spreading to other countries while attempting to quell public panic. Furthermore, access to sufficient healthcare and healthcare equipment remains limited. In a 2012 Korle-Bu Neuroscience Foundation report, Jocelyne Lapointe stated that Liberia has only one medical center, John F. Kennedy Memorial Medical Center (JFKH), with up-to-date medical imaging systems. JFKH has a modern CT scanner, ultrasound and x-ray equipment. However, the hospital does not have adequate staffing to install and operate all the imaging equipment and desperately seeks the aid of radiologists.
Nigeria also suffers from epidemic diseases such as malaria, HIV/AIDS and typhoid which affect a large portion of the population. The lack of government aid in response to these diseases has led to distrust in government healthcare initiatives. The Guardian’s September 2013 article, “The toughest job in Nigerian healthcare,” Dr. Ado Jimada Gana Muhammad, the chief executive of Nigeria’s National Primary Healthcare Development Agency, stated, “If customers – I call patients ‘customers’ – attend a health facility and the level of care is not what he or she expects the confidence is eroded even further.” Muhammad strives to reinstate Nigerians’ lost trust in the healthcare system, hoping that the public will become consumers of recent additions to the system, including better access to vaccinations and new distribution of resources. In April 2014, Nigeria’s National Health Bill will attempt to revitalize the country’s healthcare system via a $380 million pledge. The bill will focus on primary healthcare, offering free healthcare to many Nigerians.
3. Democratic Republic of the Congo
A 2013 IRIN News article, “Boost for healthcare in DRC,” stated, “Civil war has destroyed much of the country’s health infrastructure, as well as the road networks and vital services such as electricity, meaning patients often have to travel long distances to health centers that may not be equipped to handle their complications.” In a country with high rates of infant/maternal mortality, HIV/AIDS, malaria and sexual violence, access to medical care plays an essential role in the success of the country’s healthcare system. Currently, a British program, providing $179 million to the country, is attempting to help six million people in the Congo access healthcare.
4. Central African Republic
Lack of healthcare access and healthcare workers plague Central African Republic. After a 2010 rebel attack, volunteer medical workers fled dangerous regions of the country. Thus, large portions of the country’s population have been cut off from all medical resources. Furthermore, an IRIN News article, “Central African Republic: Struggling for healthcare,” states, “Since 2008, the government has spent only 1.5% of GDP on public health, hence its dependency on some 19 medical NGOs to provide drugs and medical equipment and improve the skills of health workers.” For the people of Central African Republic, health care depends on NGO’s rather than the government and therefore, when NGO workers do not feel safe in the country, the healthcare system suffers drastically. IRIN news also noted that vaccination coverage dropped with NGO displacement. The government needs to increase healthcare funding or increase safety measures for medical volunteers to improve the ailing healthcare system.
Despite Myanmar’s history of wealth via international trade, Myanmar’s economy has changed significantly in recent years. Poor road infrastructure and low government contribution to healthcare systems has led to healthcare inaccessibility for a large portion of the nation’s population. According to the Burnet Institute, an organization that conducts research on public health in Myanmar, the country has high rates of malaria, tuberculosis and HIV. Ten percent of the population suffers from HIV and tuberculosis simultaneously. Myanmar needs more government funding and outside support from other nations to establish an effective healthcare system and build access to healthcare centers.
– Jaclyn Ambrecht