Examining the Health Care System in Zambia
Universal Health Care
Private vs Public Healthcare
Even though there are a good number of public and private health facilities, a lot of the public hospitals are chronically underfunded. Another major problem in the public healthcare sector is that there is inequality in the order that doctors meet with patients. As mentioned above, the public sector is divided into three divisions, level one hospitals are in charge of provision of services and level two and three hospitals are referral or specialized hospitals.
District Health Offices (DHOs) are staffed by community health assistants (CHAs). Over the course of their one-year training, they are prepared to improve the management of malaria, child and maternal health and common preventable health conditions. DHOs spend 80 percent of their time on disease prevention and health promotion and another 20 percent “at the health post.”
There are good private hospitals in Zambia’s big cities, for example, Lusaka. They offer their services to everyone with the majority of people that participate in the private sector being foreigners or affluent Zambians. Over 50 percent of formal health services in rural Zambia are private clinics or hospitals. They also account for 30 percent of all health care in the nation. Even though they offer higher quality services at a faster rate, when a serious medical emergency presents itself, the majority of the time people will be evacuated to South Africa since they are able to provide better medical services.
Zambia’s top five killer diseases are HIV/AIDS, neonatal disorders, lower respiratory infections, tuberculosis and diarrheal diseases. Zambia also sits in the malaria belt, so it is recommended to have a mosquito net to prevent mosquito bites. Other diseases like cholera and dysentery are common during rainy seasons. The Centers for Disease Control and Prevention (CDC) has been helping Zambia since 2000 after establishing an office in the nation. The CDC “funds and assists international and local organizations” like the Ministry of Health to “provide health services at the national and community level.” In addition, the CDC has performed more than 173,000 medical male circumcisions and has prevented 98 percent of HIV exposed infants from getting HIV in 2018.
– Isabella Gonzalez