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Healthcare in Guinea
Guinea, officially the Republic of Guinea, is a Western African country located between Mali to the northeast and Sierra Leone to the southwest. With a population of 12.41 million and a total gross domestic product (GDP) equivalent to $11.4 billion, Guinea is one of the poorest nations in the world. Guinea’s poverty has limited its ability to develop the infrastructure necessary to sustain the health of its citizens. The people of Guinea have historically faced widespread public health risks such as malaria and Ebola. Infrastructural improvements resulting from domestic and global efforts are improving healthcare in Guinea.

The Problem: Lack of Healthcare Spending

As of 2018, Guinea’s per capita GDP of $920.80 amounted to only 7% of the world’s average. Within this figure, Guinea’s healthcare spending averaged the equivalent of $34 per capita. This minute healthcare budget has led to a variety of public health problems in Guinea, especially before 2014, such as:

  • Maternal & Under-5 Mortality: Guinea’s maternal mortality rate is among the highest in the world. Between 2006 and 2012, an average of 724 mothers passed away per every 100,000 live births. Guinea’s under-5 mortality rate is also a global stand-out. In the same time frame, an average of almost 120 children under the age of 5 passed away per every 1,000 births.
  • Malaria: Malaria has historically been troubling for Guinea, taking more lives annually than any other disease and ranking as the country’s top public health concern. The disease strains Guinea’s healthcare system and heavily contributes to its under-5 mortality rate. Malaria causes 31% of consultations, 25% of hospitalizations and 14% of hospital deaths of children under the age of 5.
  • Epidemic Risk: From 2014-2016, Guinea endured the worst of the Ebola epidemic. Originating in Guinea and spreading to nine other countries, reports determined there were a total of 28,000 cases and 11,000 deaths. Guinea was ill-prepared to face this outbreak due to limited resources and is at even greater risk from faster and more infectious diseases such as COVID-19.

Despite these issues, healthcare in Guinea is showing significant progress thanks to a combination of domestic and global efforts beginning in 2014. In the midst of the 2014 Ebola epidemic, the United States, alongside almost 30 other countries, co-initiated the Global Health Security Agenda (GHSA). The agenda focuses on struggling countries at high risk for infectious diseases like Guinea, equipping them with the resources to improve health systems by revitalizing their physical and organizational infrastructure. The GHSA would mark the beginning of a series of legislation to improve the capacity of Guinea’s healthcare system through infrastructure improvement. Here are the top three infrastructure changes for healthcare in Guinea.

 3 Infrastructure Changes for Healthcare in Guinea

  1. Emergency Operations Centers: The United States Centers for Disease Control (CDC) helped create a system of public health Emergency Operations Centers (EOCs) in 2015. These centers successfully responded to yellow fever, anthrax and Lassa fever in Guinea. They also strengthened vaccination campaigns for polio, tetanus and measles.
  2. Health Commodities: The United States Agency for International Development (USAID) aims to increase the capacity of Guinea’s public health systems by providing resources such as health training, equipment and technical assistance to struggling communities. The USAID Global Health Supply Chain Program, launched in February 2017, has helped maintain a continuous supply of these commodities.
  3. Epidemic/Pandemic Preparedness: The International Federation of Red Cross and Red Crescent Societies (IFRC) aims to help communities prepare and respond to health crises such as epidemics and pandemics. In conjunction with USAID funding, the IFRC created the Community Epidemic and Pandemic Preparedness Program (CP3) in 2017. This program strengthens the ability to prevent and address infectious diseases in Guinea and seven other countries. The infrastructure created through this program will continue to help in the preparation and response to such global crises as the COVID-19.

These global efforts have already proven effective. Guinea’s maternal mortality rate decreased from 724 per 100,000 births in 2006-2012 to 576 in 2017. Similarly, the under-5 mortality rate dropped from 120 per 1,000 births to about 100. 

While Guinea’s mortality rates may be decreasing and its healthcare improving, there is still much the country needs to do to attain a suitable healthcare system: even the country’s lower mortality rates are still among the highest in the world. Guinea must maintain and push forward global initiatives for better infrastructure for the sake of its livelihood.

– Asa Scott
Photo: Flickr

Hurricane Dorian
On September 1, 2019, hurricane conditions emerged within some of the Abaco Islands in the Bahamas. A mere few hours later, the conditions developed into a Category 5 storm named Hurricane Dorian with winds from 185 up to 220 mph, leaving massive amounts of chaos and destruction in its wake. The storm tore houses and buildings from their foundations as if they were cardboard and glue, leaving most of the citizens in the northwestern region of the island displaced and looking for shelter. The disaster also killed at least 50 people and many expect that number to rise as more bodies turn up. Reports state there are 2,500 people missing.

People classify hurricane Dorian as the joint strongest Atlantic storm to ever hit land. Many companies in the United States have made contributions to help the relief efforts, in addition to repairing some of the devastations in the Abaco Islands and Grand Bahamas.

Six Companies Donating to Hurricane Dorian Relief in the Bahamas

  1. Disney: The Walt Disney Company announced on September 3, 2019, two days after the hurricane struck, that it would give $1 million dollars in efforts to help alleviate some of the devastations. The Disney Cruise Line led the donation with its president, Jeff Vahle, releasing a statement saying, “The Bahamas is such a special place to us and our guests, and we have watched the devastation created by Hurricane Dorian with concern and heartache.”

  2. Lowe’s: The Lowe’s Emergency Command Center took action in the midst of the disaster on August 29, 2019. It set up a core team of people working tirelessly to send medical supplies to areas that the hurricane impacted. The company has also committed to sending a $1 million donation to the Bahamian Red Cross. 

  3. Verizon: The Verizon company waived all unlimited talk, text and data usage for its customers in the areas that suffered destruction from the storm in the Bahamas. People in this area received waived service from September 2, 2019, through September 9, 2019.                               

  4. Coca-Cola: The Coca-Cola Foundation announced a $400,000 grant to the Salvation Army in order to send immediate help to those the devastation of Hurricane Dorian affected in the Bahamas. Furthermore, Coca-Cola Puerto Rico Bottling and other CC1 Companies are lending a helping hand to the Coca-Cola Bottler in the Bahamas by organizing donations and supply drives with the help of the Puerto Rican business communities.

  5. Walmart: Walmart, Walmart.org and Sam’s Club pledged up to $500,000 in cash and in kind donations for the country’s recovery. The money that they committed will go to the organizations working directly with those impacted by the disaster. Walmart is also working very closely with government entities and local officials to alleviate the needs of the citizens.

  6. Amazon: In partnership with the International Federation of Red Cross and Red Crescent Societies, Mercy Corps and the Grand Bahama Disaster Relief Foundation, the Disaster Relief by Amazon team is sending two Amazon Air flights full of supplies to the areas Hurricane Dorian impacted. The planes will contain tarps, buckets and water containers. Amazon has also launched a wish list campaign, specifically created for nonprofit partners, for customers to donate materials to aboard the plane by September 13, 2019.

These six largely successful companies have made monumental efforts to alleviate some of the devastation caused by Hurricane Dorian and give back to communities that lost so much. Rebuilding the communities will likely take years, but these donations are a wonderful starting point.

– Joanna Buoniconti
Photo: Flickr