Archive for category: Health

Information and stories on health topics.

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10 Facts about Life Expectancy in Niger

Life Expectancy in Niger

Life expectancy rates measure the overall mortality of a country in a given year, a statistic affected by countries’ poverty rates. There is a correlation between poor health and poverty that implies those in better socioeconomic classes will live longer, healthier lives than those in lower classes. With a poverty rate of approximately 44.1 percent in 2017, Niger, a landlocked country in Africa also has one of the lowest life expectancy rates in the world. Below are 10 facts about life expectancy in Niger, which explain the challenges the government faces to improve quality of life and the efforts being taken to prevent premature deaths.

10 Facts about Life Expectancy in Niger

  1. In 2016, the global life expectancy rate was 72.0 years old and on average, women were expected to live to 74.2 years old while the rate for men was slightly lower at 69.8 years old. A 2018 estimate by the CIA estimates the average life expectancy rate in Niger was 56.3 years old. The rate for women was 57.7 years while men on average lived until 55.0 years old.
  2. One of the biggest factors affecting Niger’s stagnant poverty rates is their increasingly growing population rate. With a 3.16 percent growth rate, Niger has the seventh fastest-growing population in the world. The people of Niger lack adequate resources to feed and shelter the constantly increasing population only exacerbating the mortality rate.
  3. In 2017, the UN ranked Niger as the second least developed country in the world due to their reliance on agriculture. The majority of the population, 87 percent, depends on agriculture including subsidized farming and domestic livestock as their primary means of income. Nearly half of the population of Niger falls below the poverty line a consequence of the limited job opportunities and lack of industry.
  4. In 2017, Niger ranked 189th out of 189 countries on the United Nations Human Development Index (HDI), a scale that ranks countries based on three factors: health, knowledge and quality of life. The health factor is determined by the life expectancy at birth while knowledge is determined by the average rate of schooling for citizens and quality of life is measured by the gross national income. Although this index does not account for poverty levels, socioeconomic inequality or human security, Niger’s low ranking depicts a country struggling with healthcare, education and economic prosperity.
  5. The top three leading causes of death in Niger in 2017 were malaria, diarrheal diseases and lower respiratory infections. Comparatively, in the United States, the leading causes of death are heart disease, cancer and accidents. The leading causes of death in the United States are noncontagious and in the case of accidentals, unavoidable. However, both malaria and diarrheal diseases are treatable and communicable conditions that could be prevented with proper healthcare.
  6. Located between three deserts, Niger is one of the hottest countries in the world with a very dry climate. This extreme climate creates inconsistent rainfall patterns, which leads to long periods of drought and widespread famine. Groundwater, the only option for clean water, is often contaminated in wells or kilometers away. As a result, only 56 percent of the population has access to drinking water while 13 percent of the population uses proper sanitation practices.
  7. The people of Niger lack education about proper health practices with 71 percent of people practicing open defecation while 17 million people do not have a proper toilet. The lack of proper disposal for fecal matter affects access to clean drinking water by contaminating hand-dug wells meant to provide clean water to entire villages. This improper sanitation, contaminated water and insufficient hygiene contribute to diarrhea-associated deaths in Niger.
  8. In partnership with European Civil Protection and Humanitarian Aid Operations (ECHO), UNICEF Niger successfully advocated for the expansion of the national seasonal malaria chemoprevention campaign and the inclusion of malnutrition screening in the country. In 2016, the malaria chemoprevention campaign helped 2.23 million children between three and 59 months suffering from malaria. Also, the incorporation of malnutrition screening contributed to an 11 percent decrease in the number of children with severe acute malnutrition in 2016.
  9. Doctors Without Borders has recognized the need for malaria and malnutrition care in Niger, especially during peak drought seasons. In 2018, Doctors Without Borders treated 173,200 patients for malaria, placed 42,300 people into feeding treatment centers and admitted 86,300 people to hospitals for malaria and malnutrition treatment.
  10. A UNICEF funded branch of the water, sanitation and hygiene (WASH) program is active in Niger and fighting to increase access to clean water and sanitation facilities to combat open defecation and poor hygiene. Currently, UNICEF is modeling a WASH-approach in 14 municipalities within three regions of Niger with the intent of opening new facilities, strengthening water pipe systems and managing water supply networks.

These 10 facts about life expectancy in Niger depict a country attempting to improve the quality of life for its people despite social and environmental challenges. Slowly, with help from humanitarian organizations and nonprofits, the life expectancy in Niger will continue to improve.

– Hayley Jellison
Photo: Flickr

 

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Progress in Reducing Malaria in Haiti

malaria in haiti
According to UNICEF, some of the main causes of death in Haiti are diarrhea, respiratory infections, tuberculosis, HIV/AIDS and malaria. Among the Caribbean Islands and Central American countries, Haiti has the highest number of malaria cases. Malaria is a major public health concern, but there are efforts and progress to reduce cases of malaria in Haiti.

Malaria in Haiti

Malaria is a life-threatening disease that spreads by a female mosquito carrying a fatal parasite. In 2014, The Service de Suivi et d’Evaluation of the Programme National de Controle de la Malaria (PNCM) reported 17,094 cases of malaria. Five percent of children under the age of 5 who contract the disease receive treatment. The 2010 earthquake, the most destructive earthquake in Haitian history, destroyed health care and laboratory facilities. Therefore, the earthquake raised complications to eliminate malaria. According to the Malaria Journal, infections are the cause and result of poverty in Haiti.

Malaria Zero

In the past 10 years, Hispaniola has made efforts to eradicate malaria. In the Dominican Republic, reports state that cases of malaria reached a 15 year low. Nonetheless, one-third of the cases of malaria came straight from Haiti. Therefore, controlling malaria in Haiti will prevent it from spreading to other areas.

Malaria Zero is a group of organizations working together to eliminate malaria by 2020. In this organization, partners work on running operational research and locating areas of high transmission and risk. The organization has refined malaria surveillance systems to track every malaria case, make sure all malaria cases receive a diagnosis, limit the ability of mosquitoes to transfer the disease and educate and mobilize people to get tests and treatment.

So far, the organization has managed to attain two global fund grants of $38 million for Haiti, finalize the monitoring plan on tracing National Malaria Control Program’s progress for elimination, update malaria risk maps with new data and cross border surveillance across Hispaniola. It has also completed four operational research studies and developed new laboratory methods to identify hotspots within serology and novel ultra-sensitive tests to find malaria infections.

In addition, over 130 community members walked several miles across rocky land to offer anti-malaria medication to more than 36,000 people.

Nothing but Nets

Nothing but Nets is a worldwide campaign that raises awareness and funds to fight malaria. This organization raises funds to distribute insecticidal bed nets that protect families from malaria-carrying mosquitos as they sleep. In addition, the organization also offers household spraying, malaria treatment and training of health care workers.

Overall, eliminating malaria will help improve Haiti’s health system, stimulate financial growth and increase economic levels for people living on the island. Organizations and political leaders must focus on tackling the issue to completely get rid of the disease. Many Haitians still battle the illness, but the progress in reducing malaria in Haiti means hope for the future.

– Merna Ibrahim
Photo: Flickr

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7 Facts About Life Expectancy in Jordan

life expectancy in Jordan

Jordan is an Arab country in West Asia with a population of more than 10 million people and a life expectancy of 74 years. Although some in Jordan face health and economic struggles, efforts are in place to raise the average life expectancy rate. Here are seven facts about life expectancy in Jordan.

7 Facts about Life Expectancy in Jordan

  1. As of 2017, road injuries ranked number nine of 10 factors causing the most deaths in Jordan. In 2007, road injuries ranked much higher at sixth, as there were 110,630 road accidents and 992 fatalities. That statistic increased from 1987’s 15,884 accidents. In response to these 2007 numbers, the Jordanian government applied new traffic laws in 2008 and increased police activity, which, ultimately, boosted life expectancy.
  2. Air pollution is in the top 10 risk factors of death and disability combined in Jordan. In urban areas, 50-90 percent of Jordan’s air pollution comes from road traffic, and based on a report in 2000, air pollution causes around 600 premature deaths each year. The main factor of poor air quality is lead-based gasoline used in cars, emitting lead pollution. In 2006, the government introduced two types of unleaded petrol for cars. However, air pollution was still a leading cause of death in 2017.
  3. Noncommunicable diseases are on the rise in Jordan. Even though these diseases cannot be transmitted to others, they remain some of the most common causes of death. From 2007 to 2017, Ischemic heart disease continued to be the number one cause of death for Jordanians and diabetes moved up from fifth to fourth. As of 2017, strokes ranked second.
  4. Chronic illnesses are some of the most common diseases in Jordan. Approximately one-third of Jordanians over 25 have a chronic illness or suffer from more than one. Reported chronic illnesses are largely caused by the practice of smoking tobacco. Out of the entire population, 38.2 percent use tobacco, including 65.5 percent of males over 15. If the amount of smokers does not decrease in the future, it will negatively impact the mortality rates and overall life expectancy in Jordan.
  5. Jordanian’s access to healthcare and insurance is increasing every year. From 2000 to 2016, on average, the percent of those insured increased by an average of 1.2 percent. Overall, 70 percent of Jordanians are insured. All children under six and citizens older than 60 are eligible for insurance with Jordan’s public healthcare sector as well. Primary healthcare clinics are available in both urban and rural areas, and those with insurance receive free medication.
  6. The Jordanian government developed a national electronic medical library (ELM). The ELM gives students and healthcare workers free access to medical resources to encourage and increase the number of people pursuing a career in medicine. The government hopes that the ELM will help increase the availability of healthcare and allow the medical industry in Jordan to flourish in the future.
  7. Mercy Corps has been supporting Jordanians since 2003. The organization has 250 workers in the country. Mercy Corps not only provides basic needs but also long-term solutions, such as working to reduce tensions between leaders in communities. Mercy Corps has helped more than 3,000 vulnerable households with costs to meet urgent needs and in 2017 alone, more than one million Jordanians benefitted from their work.

Although certain health and economic issues are prominent, Jordan is making improvements to its quality of living. The government is taking the initiative to move the country forward, economically and medically, which can only mean an increase in life expectancy in Jordan in the future.

– Jordan Miller
Photo: Unsplash

 

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7 Facts About Life Expectancy in Cabo Verde

10 facts about life expectancy in Cabo Verde

Located off the coast of Western Africa, the Republic of Cabo Verde is a chain of 10 islands with a population of more than 500,000 people. A former Portuguese colony, Cabo Verde’s economy was heavily based on the Atlantic slave trade. Post independence, the country and its citizens remain impacted by the effects of poverty, including a life expectancy lower than that of many other nations. Here are seven facts about life expectancy in Cabo Verde.

7 Facts About Life Expectancy in Cabo Verde

  1. Life expectancy in Cabo Verde is on the rise. As of 2018, Cabo Verde has a life expectancy at birth of 72.7 years, placing it at 147th in the world. For males, life expectancy is 70.3 years, while females have a life expectancy of 75.1 years.  In 1960, life expectancy at birth was 48.9 years, or 47.7 years for males and 50 years for females. Life expectancy rose rapidly from the 1960s through the mid-2000s and has since been more stable, increasing slightly from year to year.
  2. The country has made huge strides in terms of health care provision. As of 2014, there are more than 250 doctors in Cabo Verde compared with only 13 doctors in 1975. Furthermore, the government is continually working toward universal access to health care and today, “more than 80 percent of the population lives within 30 minutes of a health facility.”
  3. Telemedicine bridges the gap. This innovation is helping to make medical care accessible for those residents who still face barriers to visiting a medical specialist such as cardiologists or dermatologists in person. From 2012 to 2014, the Cabo Verdean government, in collaboration with the International Virtual e-Hospital Foundation and with financial support from the Ministry of Foreign Affairs of the Republic of Slovenia, implemented the Integrated Telemedicine and e-Health Program (ITeHP). The ITeHP involves 10 telemedicine centers throughout the country, where patients can have remote consultations with a specialist.
  4. Sanitation access is poor. Access to clean water and functional sanitation systems is critical to preventing the spread of disease. According to a 2017 article from the Millennium Challenge Corporation (MCC), 16 percent of people in urban areas and 54 percent of people in rural areas did not have access to flushing toilets.
  5. The Cabo Verdean government is working to improve sanitation. In 2012, the government partnered with the MCC on an economic growth plan, one aspect of which included a water, sanitation and hygiene (WASH) project. As of November 2017, the project had resulted in 2,277 new sanitation facilities and 227 kilometers of water pipeline construction.
  6. Infant mortality rates have been steadily decreasing. In 1969, Cabo Verde had an infant mortality rate of 126 per 1,000 births. As of 2017, the rate has dropped to 15 per 1,000 births.
  7. Immunization rates in Cabo Verde are high. For the DTP1 vaccine, which protects against diphtheria and tetanus, the 2018 immunization rate was an estimated 99 percent. The same is true of the polio and measles vaccines.

Cabo Verde’s economic history has led to difficulties in health care and sanitation, but in recent decades the nation has made impressive improvements, which has led to an increase in life expectancy in Cabo Verde. Many citizens of the country still live in poverty, but these seven facts about life expectancy in Cabo Verde show how nongovernmental organizations and the Cabo Verdean government are working to help people manage their health.

– Meredith Charney
Photo: Wikimedia Commons

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Top 5 Causes of Global Poverty

5 Causes of Poverty
Of the population of the world, over 3 billion people live on less than $2.50 a day. This is a staggering number that begs the question, why? What are the causes of global poverty? There is a multitude of reasons as to why poverty devastates countries, but here are the top five causes of global poverty.

5 Causes of Global Poverty

  1. War: A country that goes to war can impact poverty greatly. There are several factors to consider when looking at how war contributes to poverty. There is the destruction of the infrastructure wherever the conflict rages. Fierce fighting can destroy power facilities, buildings and roads and usually take years to rebuild. The disruption of trade can have a devastating impact on the goods that people rely on. The halt to production in factories, growing of crops and work in mines can bring a country’s economy to almost a complete stop. The human cost is the most devastating out of every impact that war can bring. Not only is there the number of dead to consider, but also the number of people fleeing the conflict zones. Large numbers of a country’s workforce are fleeing the conflict zones looking for peace in a different country. Today, 71 million people have been displaced because of war and violence in countries all over the world. Since the creation of organizations such as the United Nations, countries are more willing to talk to each other and keep the peace rather than fight.
  2. Little to No Education: Often, when a country is in poverty, there is very little to no education available for its citizens.  Nearly 1 billion people came into the 21st century not knowing how to write their names or read a book. When a nation lacks in education, they become an untrained workforce for an impoverished nation. Families in these countries often cannot afford to send their children to school, and frequently require them to work to support their families. By the year 2000, it was possible to send every child in the world to school and in order to do that, the world would have only had to spend less than 1 percent of what it does on weapons. However, this obviously did not happen. Even though 1 billion people or 18 percent of the population could not read or write at the start of the century, this statistic is still an improvement from 1980 when the world illiteracy rate was 30 percent.
  3. Corruption: One can blame poverty in a country on the leaders as well as any outside factors. A country with corrupt leadership can have a devastating impact on the well being of its people. Corruption can divert much-needed resources and funds away from those that need them. Every country may have some level of corruption, however, the most poverty-stricken countries often show the most corruption. According to Transparency International’s Corruption Index, out of the 177 nations it ranked, 118 had a score of 50 or less. A score of 100 means that the country is free of corruption. Meanwhile, the least developed nations in the world have a score of 28. Fortunately, many countries are creating offices to hold their leaders accountable. Cuba, for example, has started the Ministry for Auditing and Control that aims to fight corruption within the country.
  4. Inflation: Countries’ economies can fluctuate from extreme highs to lows. Venezuela is a current example of a country going through this type of hardship. The South American country was able to prosper from an economic boom from its oil industry. When that began to regress, the country’s economy began to take a turn for the worse. Inflation ruined the country, making goods almost impossible to afford. There was also a lack of necessary supplies such as food and medicine. The current poverty rate in Venezuela sits at 90 percent out of a population of 32 million. Because of the economic hardship, 4 million people have left Venezuela as refugees. Despite Venezuela’s struggles, there are examples of countries that have faced terrible economic times and turned things around. Norway had one of the worst economies at the turn of the 20th century, but through foreign aid and resources, it is now one of the richest nations in the world.
  5. Natural Disasters: A natural disaster can have an overwhelming impact on a country’s livelihood and the well-being of its people. There is very little that anyone can do to stop natural disasters from happening. Earthquakes, tsunamis, hurricanes, landslides, volcanic eruptions and tornadoes can destroy areas and leave whole regions to pick up the pieces. Countries that are already in poverty struggle to recover and frequently sink deeper into poverty. According to the World Bank, over 26 million people enter poverty each year because of natural disasters. By the end of 2018, the world lost $225 billion as a result of natural disasters globally. As technology improves, countries become better prepared for natural disasters and have more warning.

No matter what the causes of global poverty are, there is always a solution to fix them. Whether it is through international aid or a change in legislation around the world, people can eliminate those causes, or at the very least, limit the devastation of poverty.

– Sam Bostwick
Photo: Pixabay

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Medical Reform in Ukraine Brings Hope

Medical Reform in Ukraine
Ukraine is one of the most poverty-stricken countries in the world. In fact, people often consider it to be the poorest country of all. Recently, a new medical reform has emerged that promises a brighter future for Ukraine. It will not solve the entire problem of poverty in Ukraine, but it will make health care easier to afford, and therefore, be a step towards better conditions for its citizens.

Medical Reform

The main objectives of the medical reform are to focus on patient-first goals including incorporating new electronic medical services for recordkeeping and prescription services, opening the Affordable Medicines program and implementing government-guaranteed packages of health care services so that the National Health Service of Ukraine acts as a third party focusing on the patient and more. All of these new programs and changes will provide a way for the people of Ukraine to address their medical needs and receive care that is affordable for them.

For example, over 6.6 million Ukrainians have already used the Affordable Medicines program. They received the drugs they needed from the program and the drugs were “based on 28 million prescriptions worth UAH (Ukrainian Hryvnia) 1.3 Billion.” Now, about 7,937 drug stores are part of the program. The Affordable Medicines program has achieved giving the citizens of Ukraine access to medications that are usually difficult to obtain, primarily due to cost factors. The medical reform in Ukraine emerged precisely for these purposes. It strives to give better health care to the citizens of this country on a person by person basis.

High-Quality Medical Services

The most recent medical reform in Ukraine occurred in 2019. It involved giving people access to high-quality medical services, such as ultrasound exams and biopsies. These services are new additions to the medical reform. It also expanded the Affordable Drugs program so that it will provide free medicines for cardiovascular diseases, bronchial asthma and type II diabetes.

The Ministry of Health of Ukraine calculated that more than 24 million Ukrainians were able to start receiving high-quality medical services since they signed declarations with their doctors. Ukraine is working more and more towards making expensive medicines and treatments more accessible for its citizens. With this newest reform, more people are able to get the types of treatment they need that were previously inaccessible or unavailable, thereby getting them closer to curing their ailments. The steps the country is taking are slow to accomplish, but it is building a system for better overall health care in Ukraine.

Electronic Document Management

Another important aspect that is Ukraine’s health care system is implementing is electronic document management. Nowadays, technology is prevalent and sometimes the only way to access information directly. The newly developed electronic document management in Ukraine gives people easy access to necessities such as medicine. The documents that the electronic system handles include medical cards, sick leave certificates, drug orders, appointments with doctors and patient record-keeping by doctors. Incorporating these types of documents into the medical electronic managing system makes a patient’s medical records and history easier to keep track of and easier to treat in an orderly fashion.

While the poverty conditions in Ukraine are still a major problem, the country is taking steps to make it more manageable and move towards improving the quality of life for its citizens. This is especially true with the medical reform in Ukraine. Affordable, timely, and accessible medical care will improve the health and lives of people in need.

– Haley Saffren
Photo: Flickr

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A Look at Efforts to Address Health Care in Ghana

Health Care in Ghana

The West African nation of Ghana is a vibrant country filled with natural beauty and rich culture. However, like many of its neighbors in sub-Saharan Africa, Ghana suffers from a high poverty rate and lack of access to adequate health care. In fact, according to the Ghana Statistical Service, 23 percent of the total population lives in poverty and approximately 2.4 million Ghanaians are living in “extreme poverty.” That being said, many organizations and groups — both national and global — are working to improve health care in Ghana.

Malaria in Ghana

A disease transmitted through the bites of infected mosquitoes, malaria is a common concern throughout much of West Africa, including Ghana where it is the number one cause of death. In fact, according to the WHO’s most recent World Malaria Report, nearly 4.4 million confirmed malaria cases were reported in Ghana in 2018 — accounting for approximately 15 percent of the country’s total population.

All that in mind, many NGOs, as well as international government leaders, have taken up the mantle to eliminate malaria in Ghana. This includes leadership from the United States under the President’s Malaria Initiative or PMI which lays out comprehensive plans for Ghana to achieve its goal of successfully combating malaria.

With a proposed FY 2019 budget of $26 million, the PMI will ramp up its malaria control interventions including the distribution of vital commodities to the most at-risk citizens. For instance, the PMI aims to ensure that intermittent preventative treatment of pregnant women (IPTp) is more readily accessible for Ghanaian women. Progress has been made, too, as net use of IPTp by pregnant Ghanaian women has risen from 43 percent to 50 percent since 2016. This is just one example of the many ways in which PMI is positively contributing to the reduction and elimination of malaria in Ghana.

National Health Care System

National leaders are also doing their part to positively impact health care in Ghana. In 2003, the government made a huge step toward universal health coverage for its citizens by launching the National Health Insurance Scheme (NHIS). As of 2017, the percentage of the population enrolled in the scheme declined to 35 percent from 41 percent two years prior. However, 73 percent of those enrolled renewed their membership and “persons below the age of 18 years and the informal sector workers had significantly higher numbers of enrolment than any other member group,” according to the Global Health Research and Policy.

It is difficult to truly understand Ghana’s health issues without considering firsthand perspectives. In an interview with The Borgen Project, Dr. Enoch Darko, an emergency medicine physician who graduated from the University of Ghana Medical School, commented on some of the health issues that have plagued Ghana in recent decades. “A lot of problems that most third world countries, including Ghana, deal with are parasitic diseases such as malaria and gastroenteritis. Though health issues like diabetes and hypertension still remain in countries around the world, and even the United States, the difference is that some diseases that have been eradicated in Western countries still remain in countries like Ghana,” Darko said. “Many people in Ghana simply do not see a doctor for routine checkups like in the United States. Rather, most people will only go to see a doctor when they are feeling sick. As a result, lesser symptoms may go unchecked, thus contributing to the prevalence and spread of disease and infection. Combined with the fact that many Ghanaians in rural communities may not have sufficient money to afford treatment or medicine, this becomes a cycle for poor or sick Ghanaians.”

That said, it is hoped that with continued support from international players as well as government intervention, the country can continue to make strides in addressing health care for its citizens.

– Ethan Marchetti
Photo: Flickr

 

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10 Facts About Life Expectancy in Gabon

10 Facts About Life Expectancy in Gabon

Gabon, located on the west coast of Africa, is surrounded by Atlantic Ocean, Equatorial Guinea, Cameroon and The Democratic Republic of the Congo. Forest covers 85 percent of the country, and the population is sparse and estimated to be 2.17 million. Keep reading to learn the top 10 facts about the life expectancy in Gabon.

10 Facts About Life Expectancy in Gabon

  1. The average life expectancy in Gabon is 66.4 years. Males have a life expectancy of 65 years compared to 68 years for females as per the 2016 data from WHO. This is the highest life expectancy value for Gabon compared to 61 years in 1990.
  2. Gabon’s total expenditure on health care is 3.44 percent of its gross domestic product. From the total expenditure on health, 31.62 percent comes from private resources. The government spends 7.38 percent of its total budget on health. This is higher than the average of 4.2 percent expenditure on health in Central Africa and an average of 3.9 percent for low-and-middle-income countries.
  3. Gabon has a low density of physicians. The country has 26 physicians and 290 nurses for every 100,000 people. The WHO notes that a physician density of less than 2.3 per 1,000 population is inadequate for an efficient primary health care system.
  4. Maternal mortality and infant mortality rates have seen a downward trend since the 1990s. The maternal mortality rate is 291 per 100,000 live births compared to 422 per 100,000 live births in 1990. The infant mortality rate is 21.5 per 1,000 live births. Eighty-nine percent of births are attended by skilled personal. The rate of under-5 deaths is 48.5 per 1,000 live births. On average, women have 3.8 children during their reproductive years.
  5. HIV/AIDS is no longer the number one cause of death in Gabon. Deaths from HIV/AIDS have declined by 77 percent since 2007. Similarly, deaths from tuberculosis and diarrhea have reduced by almost 23 percent and 22 percent respectively over the 10-year period ending in 2017. The current number one killer in Gabon is ischemic heart diseases followed by lower respiratory infection and malaria.
  6. Malnutrition is considered the most important driver of death and disability in Gabon. Dietary iron deficiency is the most important cause of disability and has retained the top spot for more than 10 years. Sixty percent of pregnant mothers and 62.50 percent of under-5 children are anemic, severely affecting the health and life expectancy of these groups.
  7. Rolled out in 2008, Gabon’s Universal health insurance extends coverage to the poorest, students, elderly, public and private sector workers. Gabon uses the Redevance Obligatoire à l’assurance Maladie (ROAM) to fund health care insurance. This is a 10 percent levy on mobile phone companies’ turnover, excluding tax and a 1.5 percent levy on money transfers outside the country. Still, the out of pocket cost for health care accounts for up to 21 percent of the total cost.
  8. As of 2015, 41.9 percent of the population has access to improved quality of drinking water. Gabon is ranked as 150 out of 189 countries in sanitation. People practicing open defecation increased from 1.7 percent in 2000 to 3.03 percent in 2015. The World Wildlife Fund (WWF) is advocating and investing to promote clean water in Gabon.
  9. Immunization coverage is between 70-79 percent for children in Gabon per UNICEF data. Available statistics for BCG and DTP vaccine shows that 87 percent of children have been vaccinated.
  10. The literacy rate in Gabon is 82.28 percent for the population aged 15 years and above. This is below the global average of 86 percent. The literacy rate for men (84 percent) is slightly higher than women (79 percent).

– Navjot Buttar
Photo: Flickr

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8 Facts About Life Expectancy in Malawi

Facts About Life Expectancy in Malawi

The landlocked country of Malawi has a life expectancy rate of 60.2 years for males and 64.3 years for females. While this is much lower than the global average of 69.8 years for males and 74.2 years for females, it represents an improvement from previous years. These eight facts about life expectancy in Malawi will help shed light on the reasons for the low rate as well as what the country has done, and can still do, to improve it:

8 Facts About Life Expectancy in Malawi

  1. HIV/AIDS: As of 2017, an estimated 1 million people in Malawi were living with HIV/AIDS which places the country at 10th in the world in terms of the number of people living with HIV/AIDS. In addition, there were also 13,000 deaths from the virus in the same year. Still, the government has made major strides to curb the epidemic in the last 10 years. Part of its strategy includes providing free condoms as well as educating young people. As of 2018, 78 percent of all people living with HIV in Malawi are on medication. There was also a decline in the number of new infections from 55,000 in 2010 to 38,000 in 2018.
  2. Maternal Health: In 2015, maternal mortality stood at 634 deaths for every 100,000 live births. This is considerably higher than the global average of 216 deaths per 100,000 live births. However, it represents a significant improvement as the government along with support from USAID has been able to reduce maternal mortality by 53 percent between 1990 and 2013. Today, more expectant mothers in both rural and urban areas are now receiving prenatal care as well as skilled birth assistance.
  3. Child Health: Great improvements have also been made in terms of child health, as most children under 5 in both rural and urban areas are vaccinated. This has helped reduce deaths from communicable childhood diseases such as measles, tetanus and pneumonia. The Ministry of Health has also implemented strategies like deworming and has also distributed vitamin A supplements to deal with other major causes of childhood death.
  4. Fertility Rate: In the 1980s Malawian women had about seven children per woman. Today, that number is at 5.5 children per woman. The high fertility rate affects life expectancy in Malawi as it puts pressure on the government to provide adequate social amenities in order to improve people’s lives.
  5. Population Growth: According to a 2018 census, Malawi’s population is 17.6 million people. By 2020 this is projected to hit 20.2 million, before doubling by 2050. This rapid population growth puts a lot of pressure on the country’s land, water and forest resources and threatens life expectancy as most Malawians derive their income from agriculture. The Third Malawi Growth and Development Strategy (MGDS III) sets out a number of policies including promoting family planning and sexual and reproductive health rights as a means to slow population growth, and better managing migration and urbanization.
  6. Infectious Diseases: Malawians are at very high risk of contracting infectious diseases. Food and waterborne diseases include diarrheal diseases and typhoid fever. In order to deal with diarrheal deaths, Malawians are in need of nutritious food as well as an unpolluted environment. Other diseases include malaria, dengue fever and rabies from animal contact. The country has been dealing with malaria by subsidizing mosquito nets. Additionally, Malawi is one of the three African countries taking part in a malaria vaccine pilot. The pilot aims to reach 360,000 children each year across Kenya, Ghana and Malawi.
  7. Water and Sanitation: One in three Malawians do not have access to clean water while 9.6 million people do not have a decent toilet. This affects the life expectancy in Malawi as it leads to an increase in diarrheal diseases. With the support of UNICEF and organizations such as Water Aid, the government of Malawi has made significant progress in reducing the number of people who lack access to safe water. Additionally, the rate of open defecation has declined from 29 percent in 1990 to four percent in 2015.
  8. Education: Malawi introduced free primary education in 1994 which put a strain on the education system. This is because the infrastructure, number of teachers and number of teaching and learning materials were inadequate when compared to the number of students who enrolled. It resulted in poor performance by the students, especially in terms of literacy.  The government of Malawi has been making an effort to improve the education sector by allocating more than 20 percent of the national budget to education.  It has also partnered with bodies such as USAID and UNICEF to improve literacy levels as well as student enrollment and completion rates. An educated and skilled population will help increase Malawi’s economic growth. Educational reforms will help reduce the unemployment rate which is currently more than 20 percent.

Malawi is considered one of the poorest countries in the world, and a lot still needs to be done to improve the lives of its people. It is however clear that the government is working with the support of nonprofit organizations around the world to make life better for its people.

– Sophia Wanyonyi
Photo: Flickr

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Access to Medicine in Developing Countries

Access to Medicine in Developing Countries
In the late 1990s, large pharmaceutical companies priced their HIV/AIDS medications at an exorbitant $15,000 a year, barring people from access to medicine in developing countries who suffered the most from the epidemic and raising public outcry across the world. Pharmaceutical companies defended their right to maintain these prices in the name of protecting their patent of these medical, life-saving drugs.

The good news is, leading pharmaceutical companies in recent years have turned their focus to helping the poor, in what they call “equitable pricing strategies.” This strategy targets middle-to-lower income countries. Large companies have priced HIV/AIDS medication for only $100 a year, a drastic decrease since the 1990s, and have made treatments for malaria, tuberculosis, hepatitis C and some cancers accessible in developing countries.

Impact of These Changes

Nearly 20 million Africans are on HIV/AIDS medication now, a statistic that stands in stark contrast to the thousands of people that died of HIV/AIDS each day in Africa 20 years ago due to the lack of access to medicine in developing countries.

The Access to Medicine Index ranks pharmaceutical companies on how accessible and affordable their medicine is. It ranked 20 of the world’s largest (research-based) pharmaceutical companies, indicating a healthy trend towards affordable medicine that can go to those most affected by common illnesses and diseases.

The Access to Medicine Foundation performs a deep analysis of these companies. For example, the foundation observes whether companies pay attention to the socioeconomic statuses of their customers in order to tailor the prices of their medicine effectively. The foundation has also remarked that large pharmaceutical companies have departed from previous policies and have granted licenses to generic drug companies who can produce a greater quantity of medicine at a lower price.

Cause of These Changes

Statistics show disparities between the health of high-income and low-income populations. In 2011, the life expectancy between high and low-income countries was as extreme as a 36-year gap. Given such a difference, it makes sense that pharmaceutical companies have specifically researched and developed cures for five main illnesses, including lower respiratory infections, diabetes, hepatitis, HIV/AIDS and malaria, that lead to premature deaths. It did this by improving access to medicine in developing countries.

FDA Involvement

The U.S. Food and Drugs Association (FDA) has also taken part in global health and access to medicine crisis in developing countries. The FDA awarded $50,000 to four companies and $25,000 to two companies during its National Capital Consortium for Pediatric Device Innovation. These six companies received awards for their innovative solutions for childcare, ranging from devices that diagnose spinal deformities to technology that cleans central-line associated bloodstream infections. Developing and investing in these technologies could have huge impacts on access to medicine in developing countries where child mortality still poses a serious threat.

Growth for Big Pharma

There are also economic reasons for these changes in the pharmaceutical industry. Research has shown that improving public health boosts the economy. Even incremental improvements in life expectancy can increase yearly economic growth rates by nearly 0.5 percent. As populations become healthier, it increases the demand for medicine. Consequently, pharmaceutical companies have witnessed growing revenues from emerging markets in developing countries. In fact, two large pharmaceutical international companies, AstraZeneca and Sanofi, receive a third of their revenues from developing markets. In short, improving access to medicine in developing countries means future profits for pharmaceutical companies.

The Upshot of These Changes to Access of Medicine in Developing Countries

Despite all the progress that pharmaceutical companies have made, there is still a persistent problem they will only invest and research in drugs that they think will make a profit. Drug prices are often high because of rebates, the cost of taking on risks for development and research of life-saving drugs and fees for intermediary pricing companies. In order to change these persistent industry practices, public pressure seems to play the strongest role, especially in America.

The continued change will come from the convincing of top leadership in pharmaceutical companies to focus on helping the world’s poor and sick, especially in developing countries. For example, under the direction of former Chief Executive, Andrew Witty, for GSK, a British-based pharmaceutical company which has always ranked first on the Access to Medicine Index, has pledged to do as much as he could for the poor in Africa and Asia. It is up to large pharmaceutical companies to set the tone in this new era of providing access to medicine in still developing countries.

–  Luke Kwong
Photo: Pixabay