Girls' Education in Eritrea
Over the past few decades, one of the international community’s main goals is to ensure all people, regardless of location and gender, have access to at least a primary and foundational education. As the challenges of global poverty and the economy shift with the passage of time, education should be a top priority. For Eritrea, this means not just addressing the educational needs to support a modern country, but also addressing the educational gender-gap between male and female education.

Education in Eritrea

Historically, education in Eritrea was largely religious and meant to prepare young boys for work in religious vocations, while secular education was limited. This meant girls’ education in Eritrea was severely lacking. Further, the status of female education remained under-developed during Eritrea’s period under the Italian regime’s colonial rule, when Eritrean education was generally ignored.

Since Eritrea’s independence, the policy concerning education focuses on creating a knowledgeable workforce to support a modern economy and to fight back against poverty and disease. The country has also noted that its goals include access to a primary education for all children, regardless of gender. To focus on female education and literacy, the National Union of Eritrean Women (NUEW) has been established.

As a result, girls’ education in Eritrea has steadily increased. Unfortunately, the numbers are still low: UNICEF reports only 43 percent of girls are enrolled in primary school education, while 50 percent of boys are enrolled. Enrollment in secondary school is much lower with about 25 percent of girls enrolled and 32 percent of boys. Fortunately, the literacy rates in Eritrea are higher with women at 87.7 percent compared to men at 92.6 percent.

Increasing Girls’ Education in Eritrea

While the government maintains a dedicated stance on girls’ education, the historical legacy of male and female education, juxtaposed with differing cultural attitudes towards women, make female enrollment a slow and difficult process. For many Eritreans in more isolated and rural areas, girls are still expected to work in agriculture and maintain domestic responsibilities. Methods to increase girls’ education in Eritrea should address these cultural attitudes and provide people with viable alternatives to alleviate domestic duties and farming.

The NUEW has made efforts to provide transportation for young girls. Because schools may be far from children’s homes, a method for addressing high drop-out rates and low enrollments is to provide students with bicycles. In a program conducted by the NUEW, among 60 girls given bicycles to reach a school over nine kilometers away from their homes, 55 of them were able to complete their studies. The NUEW also provided families with donkeys and water tanks, so that time could be freed for girls to study and attend class, rather than collect water for their families. These programs focus on saving time better spent on education, and future programs should follow suit.

While Eritrea has not yet closed the gender education gap, it is gradually inching closer to that goal. As the needs of a modern country increasingly demand more educated workforces, the focus on girls’ education in Eritrea will need to include tertiary education. Fortunately, the number of women graduating from universities is already growing rapidly. A decade ago, only 25 percent of university graduates were women. Today that number ranges between 40 to 50 percent, depending on the institution and field of study.

With more attention from the global community and new innovative projects, Eritrea should offer everyone their right to education. With under 50 percent of girls receiving a primary education, much work is still left to be done.

– William Wilcox
Photo: Flickr

Ethiopian-Eritrean Border
On Tuesday, June 5, 2018, Ethiopia announced that after 16 years of what the BBC has called a “no peace no war” stalemate between the nation and its neighbor Eritrea, Ethiopia will finally accept the Algiers Agreement — a treaty to bring peace to the Horn of Africa and the Ethiopian-Eritrean Border Dispute.

History of the Ethiopian-Eritrean Border Dispute

Ethiopia and Eritrea split into two nations after nearly 30 years of brutal civil war that resulted in Eritrea’s declaring independence from Ethiopia in 1993. Despite this conclusion, peace was short-lived. From 1998-2000, fighting resumed between the two nations over a border dispute centered around both nations’ claim to the town of Badme.

The dispute was rooted in the nations’ differing interpretation of colonial documents demarcating the line between Ethiopia and its subsidiary Eritrea. The Ethiopian-Eritrean 1998-2002 war became Africa’s bloodiest border war on record; in just two years, an estimated 80,000 people lost their lives.

The war culminated in the creation of the December 12, 2000 Algiers Agreement, which stated that both nations would cease fighting and accept the verdict offered by the newly created Eritrea-Ethiopia Boundary Commission (EEBC).

In 2002, the EEBC ruled that the disputed towns along the Ethiopian-Eritrean border, Badme among others, belonged to Eritrea. Under its former, and now deceased, Prime Minister Meles Zenawi, Ethiopia accepted the EEBC’s ruling only “in principle” which lead to the “no peace no war” stalemate that has characterized the Horn of Africa ever since.

Although the Algiers Agreement stated that the two nations would end all hostilities and accept the ruling of the EEBC, Ethiopia refused to pull its troops out of the border towns it still claimed ownership over. Occasional deadly clashes have continued to plague the Ethiopian-Eritrean border region ever since; the most recent occurred in June of 2016, when fighting at Badme resulted in several hundred deaths.

Ethiopia Accepts the Algiers Agreement

However, the hostile climate along Ethiopian-Eritrean border may have just changed. On Tuesday, June 5, 2018, Ethiopia, under its current Prime Minister Abiy Ahmed, announced that it would officially accept the border decision of the 2000 Algiers Agreement and remove all Ethiopian troops from Badme and the other contested towns.

At his inauguration this past April, Ahmed vowed to improve relations between his nation and Eritrea, and his pledge to end all hostilities over the Ethiopian-Eritrean border dispute was an unexpectedly large step in this direction.

Looking Forward

Ending border hostilities could be a huge leap forward in ensuring peace and prosperity in the Horn of Africa. The Eritrean government has long justified its authoritarian and militaristic regime as necessary to protect Eritreans from the continued hostilities of its neighbor Ethiopia, but as Abraham T. Zere of Al Jazeera wrote, “Today, there is a real opportunity to reach a peaceful resolution of this long-standing conflict.”

With Ethiopia offering up the potential for peace, Eritrea has the chance to accept this olive branch and move forward to create a more peaceful and prosperous future for all.

– Abigail Dunn
Photo: Flickr

Maternal Health in Eritrea
The United Nations’ Millennium Development Goal (MDG) Five, improving maternal health, has two components: First, reduce maternal mortality by two-thirds between 1990 and 2015, and second, achieve universal access to reproductive healthcare by 2015.  Eritrea is one of the few countries in which these goals were fully achieved.

The maternal mortality ratio—which the U.N. defines as “the ratio of the number of maternal deaths to the number of pregnancies,” calling it “an indicator of the risk of dying that a woman faces for each pregnancy she undergoes”— was 1,700 deaths per 100,000 births in Eritrea in 1990. The goal for 2015 was to cut that number to 425 deaths per 100,000 births. In 2013, Eritrea not only met but surpassed this goal, with a maternal mortality rate of just 380 deaths per 100,000 births.

Eritrea saw almost as much success in its efforts to achieve universal access to reproductive healthcare. In 1991, just 19 percent of women had any prenatal care. By 2013, that number had risen to 93 percent, a nearly fivefold increase.

What Has Worked

From 1990 to 2015, maternal mortality declined 45 percent globally and 49 percent in Sub-Saharan Africa. Although this is a marked improvement, it is still considerably less than the MDG goal of a two-thirds decrease. As such, many are wondering what contributed to Eritrea’s huge successes.

Since the establishment of the MDGs, the government of Eritrea has been committed to engaging all people with its new development programs. It strove (and continues to strive) to build a national healthcare system that offers universal coverage that truly does reach everyone, no matter how poor or remote.

Efforts by the government, the U.N. and NGOs working to improve maternal health in Eritrea have reflected this emphasis on the universal and the importance of reaching all Eritrean women. Clinics that are mobile and transitory pop up in a community temporarily, and, after a period of time, move on to the next town. This allows more women to receive healthcare without necessitating more resources or medical personnel.

Empowering Women

Likewise, there has been a strong focus on improving gender equality in Eritrea. The government has outlawed both child marriage and female genital mutilation and is continually working to promote gender equality in education and in the labor force. Today, it is estimated that women in Eritrea make up between 35 and 45 percent of the workforce. This means that women are more visible, more engaged in society politically and socially and better able to advocate for their rights.

Despite Eritrea’s considerable successes, challenges remain for the East African nation. Eritrea has a long history of violence. After 30 years of brutal civil war, it gained independence from Ethiopia in 1993. Conflict with Ethiopia resumed between 1998 and 2000 and, even during times of peace, Eritreans live until a strict authoritarian government. Continued improvements in maternal health in Eritrea will be predicated upon future peace and stability in the region.

The Future of Maternal Health in Eritrea

Access continues to be the main challenge. Women who lack money often struggle to find affordable healthcare. Despite the efforts of mobile health clinics, antiquated infrastructure, old roads and limited public transportation opportunities mean that traveling to a clinic still proves difficult for many women.

Furthermore, although 93 percent of women received at least some prenatal care in 2013, only 55 percent of women had a trained medical professional at their child’s birth. That is a huge improvement from 1991, when only 6 percent of babies were born under the care of a medical professional, but room for improvement remains.

Eritrea’s success in reaching and surpassing MDG Five ought to be applauded. Other countries should follow its example and commit to focusing on universal access to maternal and prenatal care. Despite considerable success regarding lowering the maternal mortality rate and achieving near-universal access to reproductive healthcare, Eritrea should continue to strive to increase the accessibility of healthcare. Eritrea, and the global community supporting women’s health and equity there, can continue to improve the availability of and access to affordable maternal and prenatal healthcare.

– Abigail Dunn
Photo: Flickr

 EritreaEritrea sits just above the Horn of Africa and to the west of the Red Sea. Similar to many developing nations, much of the population relies on subsistence agriculture to feed themselves. In Eritrea, as much as 80 percent of the population is engaged in subsistence agriculture. Turning away from subsistence farming to sustainable agriculture in Eritrea will be difficult.

Drought, caused by inconsistent rainfall, hinders the crop yield of the subsistence farming. The labor required to increase crop yields and the growth of farms is unavailable due to mandatory conscription.

Furthermore, uncertain relations between Eritrea’s government and other states has led to a lack of mutual trust which would enable sustainable growth. This lack of trust makes it difficult to measure the impact of the lack of sustainable agriculture in Eritrea has on the population. It also makes it difficult for international actors to provide assistance.

According to the government of Eritrea, 70 percent of its land is classified as hot and arid. This land receives less than 350 millimeters of water each year. Despite this harsh environment, 20 percent of Eritrea’s GDP is its agriculture sector.

Plans to Implement Sustainable Agriculture in Eritrea

In 2016, the Ministry of Agriculture published a booklet, titled, “Impact of Climate Change on Agriculture and Food Systems: the Eritrean Context”. This booklet outlines its plan to improve the sustainability of agriculture in Eritrea. Important efforts include:

  • the development of water reservoirs and its accompanying infrastructure
  • mitigating pests and plant diseases
  • planting in accordance with predictable weather patterns
  • increasing biodiversity of planting sites
  • promoting crop rotation to help sustain soil quality
  • promoting sustainable energy to decrease traditional wood fire stove use

Organizations Involved in Promoting Sustainable Agriculture in Eritrea

Eritrea aimed to increase collaboration with the United Nations Development Programme (UNDP) to promote sustainability and food security. As such, there has been success with projects that aim to increase sustainable agriculture in Eritrea, specifically in the small village of Keih-Kor. With the help of the UNDP, the village was able to regain the use of 45 hectares of farmland.

Techniques such as terracing and the construction of dams helped the villagers regain what erosion had taken away. The additional benefit of these techniques is that future erosion in these areas will be mitigated.

The Syngenta Foundation

Another organization working to increase the sustainability of agriculture in Eritrea is the Syngenta Foundation. Its mission is to help poor farmers in developing countries increase the value of their farms and goods. It helps farmers understand their market and helps increase the sustainability of their farming practices. According to the program website for Eritrea, its eight goals closely align with those of both the Eritrean government and the UNDP.

So far the Syngenta foundation has helped to complete the first-ever database report on soil erosion, water runoff and soil conservation at Afdeyu Station. This is the only station of its type that consistently measures these factors in Eritrea.

Other achievements include the successful testing of a micro-drip irrigation system in partnership with the College of Agriculture at the University of Asmara. The test showed food security rises with the use of the micro-drip system. Breeding tests of the new pearl millet, one of Eritrea’s major crops, have been successful both under controlled conditions and in the field.

With continued efforts, Eritrea can remedy its poor harvests due to drought. The country is still in need of a combination of funds to complete these projects and both advanced and simple technologies to improve crop yields. Implementing sustainable agriculture in Eritrea is not impossible, especially with the contributions of international organizations.

– Nick DeMarco

Photo: Flickr

The Success of Humanitarian Aid to EritreaHumanitarian aid to Eritrea has been a hot topic in international relations and human rights networks for nearly as long as the country’s existence. Following independence from Ethiopia in 1991, President Isaias Afwerki, the founder of Eritrea’s only political party, the People’s Front for Democracy and Justice, commenced a policy of radical self-sufficiency (i.e. little acceptance of foreign aid).

The idea behind his policy of non-acceptance is hinged on the accusation that foreign aid is inherently corrupt and intended to subjugate its recipients. Although this presumption may not be totally false, it is at the very least ironic given that the country’s government is one of the most oppressive and corrupt regimes in modern history.

In its current state, Eritrea is facing a serious threat to national security and well-being with the U.N. estimating that 5,000 Eritreans are fleeing the country each month. Considering these estimates, President Afwerki would do well to question whether or not his policy of non-acceptance is even sustainable.

The reason behind this mass migration has much to do with a fledgling agricultural sector, the product of an idealized self-reliance. Since nearly all humanitarian aid to Eritrea has been refused by the country’s leading officials, the state has experienced an overall rise in poverty and an intense degradation of trust between civil society and government.

The result has led to multiple citations by the U.N. for human rights abuses and fueled continuous civil strife and dissent within the country, causing many foreign watch-dogs to wonder how long it will be before Eritrea is once again embroiled in war. International accusations of negligence against the Eritrean government, however, has prompted some reassessment by Afwerki and led to his acceptance of an allotted 200 million euros from the European Development Fund over the course of four years (2016-2020).

The aid has been slotted to go toward the development of the energy sector with a focus on the improvement of agricultural infrastructure. Additionally, E.U. aid is conditioned upon the implementation of certain recommendations by the U.N. which aim to reduce the occurrence of government perpetrated human rights abuses.

Though the aid that is accepted by Afwerki is small, the impacts are already noticeable. One such example is an E.U. funded project that has distributed solar energy to rural regions of Eritrea. The success of humanitarian aid to Eritrea offers hope that the country might still have the ability to pull itself out of impoverishment.

– Katarina Schrag

Photo: Flickr

women's empowerment in eritreaEritrean society, like that of many underdeveloped countries, believes women to be inferior to men. This mindset has lasted for a long time but attempts are being made to change the “patriarchal culture” of the country, which would greatly benefit women’s empowerment in Eritrea.

Women’s empowerment in Eritrea is a major goal of the U.N. Development Programme (UNDP) Eritrea. Since women’s independence was gained in 1991, the UNDP has been making meaningful strides in increasing the status of women in Eritrea.

The National Union of Eritrean Women (NUEW) is heavily responsible for empowering women in the country. As a result, the UNDP worked closely with the NUEW to launch the “Joint Programme on Gender Equality in Eritrea.” The program hoped to extend the reach of organizations like NUEW to further promote women’s empowerment in Eritrea. It was largely successful as it “addressed the gaps that existed at the national level in gender-related issues,” according to UNDP. The project also ensures that the rights of women are protected.

There is proof that women’s independence in Eritrea, which was recognized by the country’s government, is making a difference. Women have taken over various powerful roles in Eritrea—currently, there stand three female ministers in the government. Fozia Hashim is the Minister of Justice, Askalu Menkerios is the Minister of Tourism and the Minister of Health is Amina Nurhussein.

Women in Eritrea appear to have better circumstances than most, according to Hashim. “Without women, we would not have done anything and especially not get our independence. Eritrea is unjustly attacked because if there’s one country that actually protects the rights of women, this is it. We are far more advanced on human rights than in many other African countries. Everything is written in the laws and the laws are strictly enforced here,” she said.

It appears that the change in mindset is successful—women are making meaningful attempts to be involved with their government and to overturn the traditional, male-dominant mindset of the country. UNDP believes that women’s empowerment is key to attaining sustainable human development. Women’s empowerment in Eritrea could lead to reduced poverty and so much more.

– Dezanii Lewis
Photo: Flickr

Poverty in Eritrea
Eritrea is a country in the Horn of Africa, bordered by Sudan in the west, Ethiopia in the south and Dijibouti in the southeast. The country gained independence from Ethiopia in 1993 and has been led solely by unelected president Isaias Afwerki since 1991.

Eritrea has isolated itself from other countries and become one of the poorest in Africa. The most recent data on poverty, from 2004, showed that poverty in Eritrea affects more than 50 percent of the population. Between 1990 and 2001, 44 percent of children under the age of five were underweight and nearly two-thirds of Eritrean families experienced food insecurity.

Conflict with both Ethiopia and Djibouti has consumed Eritrea for more than three decades. The threat of war with Ethiopia has led to a large amount of defense spending that leaves very little room for economic development. Additionally, 18 months of military service is mandatory for men and often takes them away from making a livelihood for their families.

According to the World Bank, two-thirds of employment in Eritrea is accounted for by rain-fed agriculture. Around 65 percent of the population lives in rural areas and 80 percent depends on the agriculture to survive. In 2011, the worst drought in 50 years hit the Horn of Africa and devastated the agriculture and increased poverty in Eritrea.

While humanitarian groups tried to help during the drought, there was only limited data and communication from the Eritrean government. “[The Eritrean people] most likely are suffering the very same food shortages that we’re seeing throughout the region [and] are being left to starve because there is not access,” U.N. ambassador Susan Rice told the BBC. “There’s a clear-cut denial of access by the government of Eritrea of food and other humanitarian support for its people.”

A constitution was developed in 1997 but has not been put in place and other countries are unwilling to have diplomatic relations. The regime has shut down the independent press, limited civil rights and allegedly denied basic human rights to its people.

The government has placed restrictions on religion, speech, expression and association. According to the Human Rights Watch, there were 474,296 asylum-seekers in 2015 — this is 12 percent of the population attempting to escape poverty in Eritrea.

Many families and children traveling alone have begun the dangerous journey across the ocean to Europe. Many European countries have attempted to accept Eritrean refugees, while countries such as Israel have refused to take any. Refugees who make an unwilling return to Eritrea are met with imprisonment and sometimes torture.

While times have been tough in Eritrea for a long time, awareness of the issue maintains important. The Human Rights Council for Eritrea was created in May 2016 and has condemned the deplorable human rights violations and totalitarian practices. Reports like this are what can help reduce poverty in Eritrea and lead to a more democratic system.

Economic growth and food security have been a part of Eritrea’s political agenda since its independence in 1993, despite various setbacks. The government continues to work on eradicating poverty by improving the export markets for livestock and produce, increasing the productivity of the agriculture process and receiving investments from the private sector.

Additionally, when poverty problems arise, Eritreans hold a strong sense of community. If the government solutions fail or are set back, wealthier people often loan livestock and money to poorer relatives and neighbors to keep them afloat.

Madeline Boeding

Photo: Flickr

Eritrea Poverty Rate
An Eritrean man named Binyan left behind his family and hiked 19 hours to the Ethiopian border. He would have to brave a dangerous journey that involved crossing the Mediterranean on overfilled boats and avoiding human traffickers. He did all of this just to get out of Eritrea. The poverty rate in Eritrea and harsh military conscriptions are forcing young people to leave the country.

Currently, Eritreans are the third-largest group of people that are coming across the Mediterranean to Europe. The U.N. estimates that nine percent of the country has evacuated in recent years. Eritreans, however, also account for the majority of the 3,000 people who have drowned in the Mediterranean on the journey. However, the situation looks even more worrying. Policy toward Eritrean refugees is shifting. The U.K. has cut the number Eritrean refugees’ applications being accepted from 77 percent to 29 percent.

There are not many figures on the poverty rate in Eritrea. The government has repeatedly denied the U.N. and independent human rights groups access to the country. However, by GDP per capita, Eritrea is the ninth-poorest country in the world. Joblessness and lack of opportunities are prevalent. Many Eritrean youths are fleeing the country precisely because they are unable to obtain work. The government halts most imports, has stopped the World Food Programme’s free distributions to roughly a million people and has refused a $100 million development loan from the World Bank.

Many factors contribute to the current rates of poverty in Eritrea. For example, the government’s harsh military conscription pays only two dollars per day, keeps young men out of work and can be extended indefinitely. Teenagers are inducted at the Sawa military base where they get four months of training and then take an exam that determines whether they are put into active service or allowed to go back to their education. The men are forced into awful conditions; they are not even given blankets and eat low-quality food. One former conscript spoke of being forced to lie in a 131-degree sun for hours.

However, there is some hope for the country. President Isaias Afwerki has been conducting a self-reliance program, with some good results. Education and healthcare are free, the HIV rate is down to less than one percent, measles and polio have been virtually eradicated and child mortality rates have decreased by two-thirds since 1995. According to the U.N., Eritrea scores higher on health than its neighbors Ethiopia and Kenya.

However, this is not enough. The country desperately needs U.N. examination and aid. If the country would open its borders to imports and aid, especially economic aid, the poverty rate in Eritrea would drop dramatically and the country would no longer see a large portion of the population fleeing its borders.

Bruce Edwin Ayres Truax

Why is Eritrea Poor
It easy to simply throw every poor country into the same bucket and assume that it will always remain so. However, every nation has a different past and a different culture, which is one of the reasons that we must take these factors into account when judging how well they fare today. Most countries, such as Eritrea, a relatively small country on the African coast, have complex backgrounds. In an effort to better understand the current state of the country, one must first ask the question: why is Eritrea poor?

Eritrea’s modern history dates to the late 1800s. It was during this time that European colonization was widespread throughout Africa. In Eritrea’s case, the Italians invaded during this time.

The country tolerated the Italians up until World War II when the British took control of the area. At this point in time, Eritrea was a relatively well-developed country. In the 1950s, due to Ethiopia’s sacrifices in World War II, the lands that now belong to Eritrea were “awarded” to Ethiopia.

If the country was so developed then, why is Eritrea poor now? The concise answer to this is that Ethiopia was poorer than Eritrea, and thus the Ethiopian government focused on building strong industries within Ethiopian lands and neglected the Eritrean economy. This marked the beginning of the country’s recession. Then, in 1961, the most influential event in Eritrean history began: the war for independence from Ethiopia. This left little resources for the development of a stable industry.

What made this war especially chaotic was the continued influence of the Cold War. These events complicated matters so much so, that it left little resources for development of a stable industry. Why is Eritrea poor? This is why.

The war ended in after 30 years in 1991 and the country was formally established in 1993. Unfortunately, the Ethiopian military destroyed large parts of the country during the war, including whatever industrial buildings Eritrea had to its disposal.

An effective government was not established yet, and many Eritreans, during and after the war, had to fend for themselves. Eritreans were left to their own demise that they developed a culture of self-reliance, which they now pride themselves in.

This self-reliance, in the end, turned out to be more harmful than helpful. In 2006, during a severe drought, the country’s government declined humanitarian aid from NGOs such as the U.S.-based Mercy Corps and the Ireland-based Concern for this reason. At this time, 80 percent of the population lived off of subsistence farming, and the country housed an undernourished population of about 30 percent. Eritrea also had to recover from another war with Ethiopia, which lasted between 1998 and 2000.

Why is Eritrea poor? The answer to this question lies in the country’s conviction of trying to make ends meet on its own and its endless clashing with Ethiopia.

Due to these issues, the international community has not been very keen to invest in the country more recently. Eritrea has industries which are waiting to be capitalized on, such as minerals and a wide seafront, but it has a lack of money to begin these endeavors. Landmines left over from the previous wars also make mining especially expensive, leaving mineral deposits untouched.

There is an improvement on the horizon though: the Eritrean government is paying its citizens more fairly and is looking do some initial landscape scouting for mining. Furthermore, the country’s GDP has consistently grown since 2008.

Michal Burgunder

Photo: Flickr

Diseases in Eritrea
Eritrea is a northeast African country on the Red Sea coast with a population of 5.8 million. In recent decades, Eritrea has made great strides in improving the health of its population as part of the Millennial Development Goals. In particular, Eritrea has focused on child health and has made progress in eliminating childhood diseases such as measles with improved immunization and nutrition programs. Between 1993 and 2008, the number of Eritreans vaccinated against measles skyrocketed from 34 percent to 95 percent. Diseases in Eritrea remain a consistent health threat, however, because despite these health improvements, poverty in the country creates health challenges.

Much of Eritrea’s current health concerns revolve around vecsor-borne and mosquito-borne illnesses such as Yellow Fever and Malaria. Malaria has been one of the country’s top concerns in recent decades, as Eritrea has made a conscious effort to reduce the spread of the disease and joined the African Leaders Malaria Alliance. Since approximately 70 percent of the population lives in high-risk areas, the Eritrean government has responded with a variety of strategies, such as the promotion of national campaigns and community based-programs encouraging medical checkups. Today, nearly 70 percent of children below age five now sleep under insecticide-treated nets, and more than 60 percent of citizens own at least two ITNs. These measures have succeeded, helping Eritrea reduce annual malaria incidence by 85 percent between 1998 and 2012.

As a whole, Eritrea’s vaccination coverage has improved so much that it is now among the top African countries based on DTP3 disease coverage. DTP3 immunization, which covers diphtheria, tetanus and pertussis, has been at 99 percent since 2008, far above the African average of 64 percent.

However, diseases connected to diet and nutrition such as diabetes and diarrheal diseases also pose a threat to the Eritrean population. An estimated 22,700 children under five are projected to be affected by severe acute malnutrition (SAM) in 2017, and according to national data, half of Eritrean children are stunted. UNICEF Eritrea has made fighting these diseases a top priority, and provides women and children with water and nutritional supplies as well as hygienic services and child protection services as part of its Humanitarian Action for Children.

One of the main issues preventing Eritrea from further reducing the spread of disease is the lack of doctors and physicians in the country. Although the number of physicians in Eritrea doubled in recent years, medical staffing remains far below estimated needs and targeted goals for the future, and as a result, diseases like tuberculosis and yellow fever remain a threat.

In the future, Eritrea can look to its success with controlling the spread of malaria as a prime example of the effectiveness of awareness campaigns coupled with immunization and nutrition programs. As Eritrea grows as a country, it will face new health concerns regarding immunization and disease. Preventing diseases in Eritrea will continue to be a part of the government’s goals as part of the 2030 Millennial Development Goals, as the country aims to secure a prosperous future for its people.

Nicholas Dugan

Photo: Flickr