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6 Facts About Healthcare in Pakistan

Healthcare in Pakistan
In a study that The Lancet conducted, healthcare in Pakistan currently ranks 154th out of 195 countries in terms of overall system performance. As a developing country with a mere 2% of its GDP allocated for total health expenditures, Pakistan struggles to maintain a proper healthcare system with regard to quality and accessibility.

Pakistan’s numerous cases of communicable and vaccine-preventable diseases highlight its struggling healthcare system. Viral hepatitis, dengue, tuberculosis, malaria, typhoid, HIV and cholera have long been leading causes of death. They are the result of overpopulated cities, poor sanitation, unsafe drinking water and inadequate socioeconomic conditions.

Pakistan has one of the lowest amounts of immunized children, with overall vaccination coverage of just 60%. The result is a high newborn mortality rate: 69.3 deaths per 1,000 live births. Moreover, while the rest of the world is free from polio, experts still consider the disease as an endemic in Pakistan. Documentations determined that there were nearly 150 polio cases in 2019. With these alarming statistics in mind, here are six facts about healthcare in Pakistan.

6 Facts About Healthcare in Pakistan

  1. Healthcare in Pakistan includes both private and public sectors. The private sector serves approximately 70% of the population. Private hospitals and healthcare institutions consistently outperform their public counterparts, as measured by the overall quality of healthcare and patient satisfaction.
  2. A common misconception is that healthcare services in the public sector are free of charge to Pakistani citizens. This is not the case, as 78% of the population continues to pay for healthcare out of their own pockets.
  3. Healthcare in Pakistan has been a focal point after the country signed the U.N. Millennium Development Goals (MDGs). Pakistan began to initiate healthcare programs, establishing both Basic Health Units as well as Rural Health Units. Basic Health Units are assigned to NGOs, who manage the day-to-day operations, administer medicine and overlook the facilities.
  4. Reports estimate that there are roughly 175,000 doctors registered to serve the population. However, many Pakistani doctors choose to practice abroad due to poor service structure, increased workload, lack of funding and a rise in hostility by some. Moreover, many female doctors have stopped practicing due to family and social compulsions. Taking into account all these factors,  the doctor to population ratio stands at one doctor for every 1,764 persons. For adequate population coverage, Pakistan needs at least two doctors for every 1,000 persons.
  5. Healthcare in Pakistan has gradually improved over time. Currently, 92% of the rural population and 100% of the urban population have access to health services. Such improvement has been a direct result of Pakistan meeting the MDGs. Despite measures to increase the quality of healthcare facilities, most of the population prefers to consult private doctors and practitioners.
  6. Pakistan continues to commit to the MDGs in order to eradicate a multitude of preventable diseases. The introduction of immunization programs, such as the Expanded Program on Immunization (EPI), has increased vaccination coverage in Pakistan from 5% to 84%. EPI partnered with the Global Alliance for Vaccines and Immunization (GAVI), a global health organization dedicated to increasing immunization in low- and middle-income countries. With this partnership, countless people are working to eradicate vaccine-preventable diseases, such as measles, polio and neonatal tetanus.

With the arrival of COVID-19, Pakistan’s healthcare system is under immense pressure and is struggling to deal with the thousands of cases arriving each day. Frontline workers are taking the brunt of the virus. An estimated 3% of the total cases in the country consist of healthcare workers. Medical professionals are resorting to strikes and protests over the lack of protective gear necessary to safely treat patients.

In light of the unrest, Prime Minister Imran Khan announced new healthcare reforms to fix the faults of the health sector. The reforms allocate $300 million to pay for additional ventilators and other medical equipment. Additionally, major cities are setting up isolation centers to increase hospital capacity for infected patients.

These six facts about healthcare in Pakistan determine that the country will need to radically transform its health system performance in the following years in order to confront outbreaks that continue to threaten the population. The World Health Organization has recommended that Pakistan’s Ministry of Health increase healthcare expenditures to 5% of its GDP. Doing so would not only put an end to controllable diseases, but it will also ensure that the healthcare system will be able to deal with dangerous outbreaks in the future.

–  Abbas Raza
Photo: Flickr

 

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Reducing Ghana’s Poverty Rate: 3 Keys to Success

Ghana's Poverty Rate
Ghana is a West African country that has made considerable progress in reducing poverty. Ghana’s poverty rate gradually lowered since the 1990’s. Poverty reduced from 52.6 percent in 1991 to 21.4 percent in 2011. Ghana slashed its poverty rate by more than half and became a middle-income country in 2011. The three reasons for this huge reduction are economic growth, diversification and education development.

Poverty Reduction in Ghana: 3 Keys to Success

  1. Economic Growth: Ghana’s 2017 GDP growth rate was about 8.4 percent, which was the seventh-fastest GDP growth rate in the world. The economy is developing quickly, as the country sets a few policy barriers to investment and trade in relation to other African countries in the region. Due to the few barriers, investment in natural resources such as oil and gold are common. Gold alone brings about 48 percent of the country’s revenue and is one of the main reasons for economic growth. Gold production amounted to about 590,000 ounces in 1990 and increased to 4.6 million ounces in 2018. As of 2018, Ghana is number seven in the world for gold production.

    Oil is also an important export but is relatively new. The oil sector is less than 10 years old, yet is growing at a rapid rate. In 2017, more than 500 million barrels were produced from the Sankofa fields. Ghana’s growth averaged about 4 to 5 percent in the 1990’s and has gradually increased over time. Thanks to steady growth, Ghana’s poverty rate was 21 percent in 2012, which is less than half the African average of 43 percent.

  2. Diversification: Oil and gas are two areas that helped diversify the economy and reduce Ghana’s poverty rate by creating jobs and increasing wages for those transitioning out from low-wage occupations and into more lucrative fields. The service industry is 57 percent of GDP and remains the largest sector and another important area in Ghana’s growth. The service sector also employs about 40 percent of the population.

    Agriculture still employs a little more than a quarter of the population, yet the service and manufacturing sectors have steadily grown since 1991. Developing economies are mainly agriculture-dependent economies. As a middle-income country, the amount of the population employed by Ghana’s manufacturing and service sector expresses transitioning into a developed and stable economy. In 2008, employment in agriculture was 52.5 percent and reduced to 33 percent in 2018. Service employment rose from 33 percent in 2008 to 47 percent in 2018. In only 10 years the service sector has grown 14 percent. The industry grew 4 percent during that same time period. Telecommunications and tourism are two services that helped grow the service sector.

  3. Focus on Education: A better educated and trained country leads to more opportunities. The number of people in Ghana’s workforce without education dropped from 41 percent in 1991 to 21 percent in 2012. Almost 90 percent of children attend school, which is a big difference from other African countries. Only 64 percent of Nigerian children attend school. Ghana spends about 8 percent of its budget on education, which is more than the United Nation’s 6 percent benchmark. For reference, the U.K. spends a little more than 6 percent on education. Ghana’s progress in education began with the U.N.’s millennium development goals that the U.N. set in 2000, and it developed at such a fast rate because it pushed for education.

Ghana’s poverty rate slashed in half thanks to education development, diversification and fast economic growth. The economy is still strong despite its 2015 recession. The economically diverse and natural resource-rich Ghana has made tremendous progress in poverty reduction and is projected to continue reducing its poverty rate in the future.

– Lucas Schmidt
Photo: Flickr

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10 Facts About Life Expectancy in Eritrea

10 Facts About Life Expectancy in Eritrea
The average life expectancy in Eritrea is 65 years, nearly seven years short of the world average. Before getting to the 10 facts about life expectancy in Eritrea, here is some general background on the country’s health metrics. In 2000, life expectancy in Eritrea was only 55, meaning there has been a substantial improvement over the past two decades. However, Eritrea‘s growth has been comparatively less than neighboring Ethiopia, which increased from nearly 52 to 65.5 over the same period and surpassed Eritrea for the first time since 1970.

According to the WHO, despite political turmoil and high poverty rates, Eritrea has managed to improve its health resources. With the official end of the Ethiopian-Eritrean war in 2018, all signs seem to indicate that life expectancy in Eritrea will continue to increase in the coming years.

Still, Eritrea is a complicated country with past political and economic troubles that make its future uncertain. However, present trends may give insight into the future longevity of the country’s citizens. Here are 10 facts about life expectancy in Eritrea.

10 Facts About Life Expectancy in Eritrea

  1. Women live longer than men: Women, on average, live to be almost 68, whereas male life expectancy is only about 63.5. Even so, one problem that connects to women’s health in Eritrea is the lack of access to medical care during childbirth. About 70 percent of women give birth at home, which greatly increases the risk of complications. In addition, malnutrition poses serious problems for women who are breastfeeding, as it can cause both them and their children to be dangerously underweight.
  2. Health has not increased as much as lifespan in recent years: According to Charles Shey Wiysonge, though Sub-Saharan Africa has marked an up-tick in life expectancy over the past several decades, the average number of healthy years people live has shown smaller growth. This means that while people are living longer, their quality of life may remain more or less unchanged. When looking at health statistics, it is important not to celebrate prematurely.
  3. Eritrea has one of the lowest rates of HIV/AIDS in Sub-Saharan Africa: UNAID statistics show that Eritrea is one of the few countries in the region to have an HIV/AIDS prevalence rate of less than one percent. Sub-Saharan Africa’s average is 4.7 percent, while Eritrea’s is 0.6 percent.
  4. Eritrea’s first medical school opened in 2004: The Orotta School of Medicine in Asmara opened on February 16, 2004. The inaugural class included 32 students, six of whom were women. In addition, over the past several decades, Eritrea has steadily increased the percentage of its population with medical training. In a 2010 workshop supported by the World Bank and WHO, the country established goals to increase the overall number of health workers, increase retention rates, encourage a diverse mix of skills and improve access to technology. The country currently has 6.3 health professionals per 10,000 people. This is significantly above the world average of roughly 4.6.
  5. Eritrean youth frequently seek asylum in Europe: In 2015, 5,000 minors from Eritrea survived the dangerous crossing into Europe to request asylum. Though the number decreased to 3,500 in 2018, the fact remains that an outflux of the nation’s youth could affect average life expectancy. Moreover, the continued export of asylum seekers from Eritrea is indicative of considerable unrest among the population, which will likely impact future political attitudes towards things like public health.
  6. Infant mortality remains an issue: The infant mortality rate in Eritrea is 47 percent, and the under-five mortality rate is 89 percent. The country is attempting to address this, however. One of the U.N.’s Millennium Development Goals for Eritrea is to reduce child mortality. According to a 2002 report, Eritrea is on track to meet this and other goals in the near future.
  7. In 2019, the Eritrean government closed 22 Catholic-run health care clinics: According to a 1995 decree, all Eritrean social and welfare projects are to be state-run. The government recently used this precedent to justify the military seizure of the health clinics. BBC analysts believe the seizures to be a punishment for the Church’s call for governmental reform. As the clinics in question served some of the poorest sectors of the nation’s population, their closure has harmed overall health.
  8. The number one cause of death in Eritrea is tuberculosis: Despite increases in access to medicine and technology, tuberculosis remains Eritrea’s number one cause of death killing more than 600 people per year and affecting roughly 2,000. Neonatal disorders and diarrheal diseases also remain everyday challenges. However, since the country has made significant strides in reducing other areas of premature death and the prevalence of HIV/AIDS has dropped by nearly 58 percent, it stands to reason that the incidence of tuberculosis will decrease in the years to come as more medical training and technology becomes available.
  9. Malnutrition remains the number one risk factor for death and disability: Like much of Sub-Saharan Africa, Eritrea struggles with sufficient access to food, water and sanitation. In 2007, the top three factors to a disability or premature death were malnutrition, lack of access to clean water and sanitation and air pollution. This ranking remained unchanged in 2017, despite a decrease in the prevalence of almost 30 percent across all three areas. Eritrea has also made progress in other key health areas. Unsafe sex as a cause of health complications decreased by 47 percent over the 10-year period. Similarly, tobacco use dropped from the sixth to the ninth most prevalent risk factor for poor health.
  10. Per capita spending on health is poised to increase in Eritrea: According to healthdata.org, the per capita spending on health was $30 compared to the United States’ $10,000 per person. Though some project this number to almost double by 2050, the majority of health funding will likely still come out of pocket. Unless Eritrea takes action, this lack of funding may leave the poorest citizens of Eritrea vulnerable.

These 10 facts about life expectancy in Eritrea indicate that the country is a long way from solving the humanitarian crisis which continues to affect its population. However, these facts do give some idea of which areas the country is addressing successfully and which it is neglecting. Many aid organizations around the world are working hard to increase the standard of living in Eritrea and elsewhere in the developing world. It, therefore, seems likely that in the near future, life expectancy in Eritrea will rise significantly.

– Alexander Metz
Photo: Flickr