Kosovo is a newly and controversially independent Baltic state with its fair share of hardships. After only recently deescalating its conflict with Serbia, the war-torn country must continue to find how to establish itself in the world. These 10 facts about life expectancy in Kosovo highlight Kosovo’s unstable internal conditions as well as the efforts that the country is putting forth to improve them.

10 Facts About Life Expectancy in Kosovo

1. In 2002, the average life expectancy in Kosovo was 68 years. It has steadily improved since then with the average life expectancy in Kosovo now being 72 years according to the World Bank. Improvements in many sectors, such as increased health care accessibility, education reforms and de-escalation of the conflict in the region may be a cause of this. Compared to the average life expectancy of the European Union (E.U.) nations (81 years), Kosovo has a long way to go. However, many project the yearly improvement over the past two decades to continue.

2. According to the Kosovo Agency of Statistics, in 2017, 18 percent of the population lived below the poverty line. High poverty levels likely stem from a prevalence of unemployment (31 percent in 2017) as well as exceedingly low wages (500 euros monthly). This makes Kosovo the third poorest country in Europe. However, increased foreign investment and urban development have caused major improvements from figures just five years prior that show the poverty level at 23.5 percent, reflected by a higher unemployment rate of 35 percent.

3. There is a vast disparity in health care access between minority populations and the general populous of Kosovo. Children living in rural areas are less likely to have access to good health care, and this is even worse for ethnic minorities. According to the United Nations International Children’s Emergency Fund (UNICEF), more than 60 percent of Roma, Ashkali and Egyptian children live in absolute poverty and over 30 percent live in extreme poverty (compared to the average statistics of 48.6 percent and 18.9 percent, respectively). A statistic that reflects this disparity is the infant mortality rate (IMR). The average IMR for the whole of Kosovo is 12 deaths per 1,000 live births. When looking at the IMR for minorities, that number jumps to 41 deaths per 1,000 live births.

4. Kosovo has a Gross Domestic Product (GDP) of $7.129 billion and spends 1.1 percent of it on health and social work, as well as 0.9 percent on public administration. While the amount the country spends on public health services is very low, Kosovars have seen improvements in basic health. The government has recently subsidized health care accessibility programs such as the Law on Health Insurance (2014) and the National Health Sector Strategy (2017-2021). The former gave all Kosovo citizens the right and obligation to have a basic, mandatory health insurance package that covers emergencies, pregnancies and childbirth and other health care essentials. The latter is a strategy the Ministry of Health adopted that focuses on better management of health care funds as well as improving the accessibility of basic health care to minorities and other marginalized communities. Ultimately, however, the outcomes of the new policies have been difficult to measure due to lacking administrative records and unclear implementation policies.

5. The leading causes of death in Kosovo are circulatory system diseases, making up 62.7 percent of all deaths in 2015. Other prevalent causes of death are tumor diseases (14.7 percent) and respiratory diseases (5.4 percent). Kosovo also has one of the highest tuberculosis rates in Europe, according to the World Health Organization. Many of these diseases are due to the overwhelming amount of tobacco products consumed in Southeastern European countries, causing 80-90 percent of all lung cancer cases and increasing the risk of cardiovascular diseases and tuberculosis.

6. Starting in 1998, Serbia cast out over 800,000 people from Kosovo during the Kosovo Conflict. Thousands of people still live in refugee camps since they have no way to reclaim their homes. Other organizations or individuals have bought the properties, and Kosovo courts make it very difficult to evict the illegal tenants and allow refugees to return to their homes. However, efforts from UN Habitat, a branch of the United Nations that deals with sustainable human settlements and shelters, have recently pushed for reform in Kosovo’s court system to more adequately handle the illegal seizures of property. The Kosovo Municipal Spatial Planning Support Programme, which UN Habitat developed, has built capacities for sustainable and affordable development of urban areas and has established institutions like the Housing and Property Directorate and the Kosovo Cadastre Agency.

7. The homicide rate in Kosovo is measured at about 2.1 intentional homicides per every 100,000 people in 2016. This is impressively low, considering the global average is 6.2 homicides per 100,000 people and the U.S. average is 4.9 per 100,000.

8. The Programme for International Student Assessment (PISA) looks at three categories for fifteen-year-old students: math, reading and sciences. The test thereby evaluates teaching methods and education infrastructure and shows the government whether the improvement is necessary or not. In 2015, the PISA ranked Kosovo as one of the last three countries in all of the evaluated categories. The ranking is devastating, yet the Minister of Education Arsim Bajrami embraced the results with a promise of improvement. He stated, “[The decision to participate in the PISA] was a courageous act as well as a commitment to increase the quality of education in our country.” Since then, with the help of foreign aid, the government has worked to improve the technical training of teachers and the ability of Kosovo’s youngest generation to be financially viable.

9. Kosovo air quality has been steadily decreasing over the past decade. In December 2018, Kosovo’s capital of Prishtina had an air quality measured as hazardous. Increased investment in coal and biofuel power plants have caused a sharp increase in air pollution. The Balkan Green Foundation and the Institute for Development Policy (INDEP) launched campaigns to raise awareness on the effects of excessive air pollution caused by fossil fuel. They have been pushing for transparency with energy expenditure and power plant output, but the government has been less than receptive. However, the green movement in Kosovo has gained traction very quickly within the past six months. There are now large pushes for the Kosovo government to be more accurate with air pollution reports as well as transportation reform to ensure car emissions are not unnecessarily high.

10. The people of Kosovo consider corruption to be the most important problem facing them, after unemployment, according to the UNODC Corruption Report on Kosovo. Systemic bribery is endangering Kosovars by obstructing their access to law enforcement as well as health care. Thirty percent of all bribes went to police officers to overlook petty crimes, 26 percent went to nurses and a massive 42 percent of bribes went to doctors to either expedite or receive better treatment. The U.K.’s ambassador to Kosovo Ruairi O’Connell has pushed very strongly for a crackdown on governmental and private corruption, “The moment has come to remove officials whose integrity is contested. Politicians should not meddle in the work of police, courts, and prosecutor’s office.”As of yet, corruption continues to be widespread, and public opinion as well as the justice ministers in the Kosovo government call for immediate reform.

These 10 facts about life expectancy in Kosovo reflect that the condition is gloomy, but improving. Corruption is still endemic and ethnic disparities are prevalent, but outside influencers, like the U.N. and non-governmental organizations like INDEP are helping the government improve. If the government carries out infrastructure, education and health care developments successfully, the country would see improvements across the board and become a more competitive piece of the world with a much higher life expectancy.

– Graham Gordon
Photo: Flickr