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Aiming for Universal Healthcare in Mali

Universal Healthcare is Saving Children in MaliBeing a child in the impoverished, conflict-riddled country of Mali is not easy. Lack of healthcare is one of the major factors contributing to the issue of child poverty. One in 10 children does not live to see their fifth birthday. The primary causes of death are pneumonia, diarrhea and malaria. All these diseases are completely preventable. Children who survive must often work to help provide for their families instead of getting an education. The Malian government is aiming for universal healthcare in Mali, starting with a focus on pregnant women and children under 5.

Conflict in Mali

Mali is a landlocked country located in West Africa and one of the most poverty-stricken nations in the world. The U.S. Agency for International Development (USAID) reports that 49% of Malians live below the extreme poverty line. With more than half of the country’s entire population under the age of 18, child poverty is an ongoing crisis.

Mali gained its independence from France in 1960 and has since struggled for stability. Decades of conflict have wreaked havoc on the people living within Mali’s borders.The most recent conflict began in 2012 when a group of rebels, backed by several Islamic militant groups, overthrew the government in a military coup. These alliances did not last long, and as a result, sparked violence that spread across the country. The struggle for land and power continues to this day. In 2018, nearly one-third of Mali’s population lived in areas directly affected by the conflict. As war wages on, child poverty in Mali continues to increase.

A Child’s Life in Mali

Mali’s youth have taken the brunt of the devastation caused by the continuing violence. Many lack necessities like access to clean water, food, education and healthcare. Children under the age of 5 are most vulnerable, and without accessible healthcare, many preventable diseases turn deadly.

Before the 2012 conflict, great strides were being made in the development of programs and policies to improve the conditions of child poverty in Mali. Infant mortality was on the decline, the number of children enrolled in school increased by 10% and there was a dramatic rise in birth registries. Registry of birth is extremely vital because when a child is unregistered, they do not carry the same rights and protections as those who are. Registration at birth assists in securing a child’s access to human rights protections under laws against child marriage, labor and recruitment into armed forces before the legal age. Without documentation to prove identity, education, healthcare and the right to vote become inaccessible.

UNICEF’s Efforts

The country’s instability has halted much of the progression. However, humanitarian organizations like UNICEF, continue to work toward the goal of ensuring every child’s rights are upheld. UNICEF is currently working on four key elements of child welfare in Mali:

  1. Vaccinations: UNICEF targets communities with the highest number of unvaccinated children and uses proven strategies to supply vaccinations for the most common diseases.
  2. Malnutrition Prevention: Educating families within the first 1,000 days of life on proper nutrition, vaccination benefits and hygiene has been successful in decreasing infant mortality rates.
  3. Education: Distributing learning materials and helping train teachers to ensure children have the best quality education possible is a high priority.
  4. Child marriage: UNICEF is assisting the Malian government in developing policies to end the practice of child marriage. This entails encouraging leadership on local levels to adopt progressive policies that promote social change for the betterment of the female children in their communities.

The Good News

The Malian government says it wants to see improvement in the lives of its people. For this reason, it is actively working to ensure free healthcare is available to all citizens. The ultimate hope is for universal healthcare in Mali.

Data obtained through a lifesaving pilot program that began in 2008 provides promising news. This trial program provides door-to-door healthcare in the town of Yirimadio, which is located just outside Mali’s capital city of Bamako. When the trial began, the child mortality rate was 154 deaths per 1,000 births. Upon the trial’s completion, the child mortality rate had decreased by a staggering 95%.

This free door-to-door health care program was so successful that Mali’s government has committed to having this healthcare program available nationwide by 2022. At this time, the plan is offered to pregnant women and children under the age of 5. Mali’s health minister, Samba Ousmane Sow, said, “We are trying to make Mali be great again, to improve our healthcare system and save lives and we are hoping this will help us reach universal healthcare with a very powerful, improved system.”

The Road Ahead

The primary concern is ensuring healthcare professionals have the training and provisions to provide the service. The Malian government is seeking ways to become self-sustaining in its quest for universal healthcare as it is saving children in Mali. Currently, it is reliant on external donors to supplement government funding. Nonetheless, amid conflict, there lies hope for the future.

– Rachel Proctor
Photo: Flickr

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10 Facts about Healthcare in New Zealand

Healthcare in New Zealand
New Zealand is a small island country situated just southeast of Australia. Its healthcare system is known as one of the best in the world. While there are still improvements to be made, the government of New Zealand has worked to make healthcare affordable and accessible. Here are ten facts about healthcare in New Zealand.

10 Facts About Healthcare in New Zealand

  1. The national government runs New Zealand’s universal healthcare system. This means the government handles the public healthcare system from its budget to the agency that oversees it. This allows healthcare to be free to access, as it is funded publicly through taxes and by the national government. However, the government does not handle the responsibilities for providing health services, leaving this up to regional and private healthcare centers in the system.
  2. New Zealand’s average life expectancy is about 82 years. The nation ranks 15th in the world for highest life expectancy rates. New Zealand’s healthcare system has contributed to the high life expectancy and the country is striving to increase life expectancy even further.
  3. Healthcare in New Zealand is not completely centralized. Instead, it is a mixture of both public and private. However, universal healthcare still exists in the form of public funding. The government provides a universal healthcare package for all residents. If a New Zealander wishes for more benefits or wishes to have non-essential services such as cosmetic surgery, then they must pay for these services themselves.
  4. Compared to most developed countries, healthcare in New Zealand receives more government funding than private funding. Most of the funding comes from taxation. This ensures that the taxes New Zealanders pay is put towards their healthcare services.
  5. The government also provides financial compensation for injuries. The Accidental Compensation Corporation (ACC) is a government agency that works with the national government to provide financial compensation for injuries during work and other events. Because of this, health services for injuries are often free of cost.
  6. Drugs and medicine are not provided by the state under the healthcare system. Instead, private pharmacies and pharmaceutical companies provide medicine to individuals via prescription or over the counter.
  7. Private health insurance is still available in New Zealand. However it only compensates for 5% of health insurance. Nonprofit and for profit non-government organizations offer private health insurance, which is mainly used for elective surgery or to cover cost sharing requirements.
  8. Mental health, cardiovascular diseases and diabetes are the main health concerns in New Zealand. However, the number of physicians, nurses, specialists and dentists are steadily increasing in the country. Moving forward, this could help the nation more effectively tackle these persistent health concerns.
  9. One problem New Zealand faces is a decrease in hospital bed availability. Although New Zealand’s healthcare system is seen as very effective, there are some problems. One of these is the decreasing number of available hospital beds in the country. Although the reason for this is that many elderly patients are shifting to nursing homes and senior centers, this could be a problem in the future especially if the COVID-19 pandemic continues to be a significant concern.
  10. Inequality is also an issue in New Zealand’s healthcare system. Although the healthcare system is effective overall, the indigenous Maori do not have the same access to healthcare as the other residents of New Zealand. This inequality often prevents the Maori from receiving the same care and treatment.

New Zealand has a very effective healthcare system that is able to treat many diseases. However healthcare in New Zealand can still be improved, the most pressing issue to address being inequality. Moving forward, it is imperative that the government of New Zealand continue to support universal healthcare and expand its availability to everyone living in the country.

– Sadat Tashin
Photo: Flickr