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Burundi is one of the poorest African countries, burdened by a high prevalence of communicable, maternal, neonatal, nutritional, and non-communicable diseases. The burden of communicable diseases generally outweighs the burden of other diseases. [1] Mothers and children are among those most vulnerable to this burden.[ citation needed ]
Civilians in Burundi have lived through years of conflict due to the civil war, leaving many civilians facing economic crisis. The government has had limited capacity to invest in the health system, so the health infrastructure is poor. [2]
The link between health and poverty is undeniable. Many Burundians do not have access to primary health care. [2] Despite this, the Human Rights Measurement Initiative [3] finds that Burundi is fulfilling what it should be for the right to health based on income levels. [4]
Burundi had the lowest consumption of antibiotics of any country in the world in 2015 with a rate of 4.4 defined daily doses per 1,000 inhabitants per day. [5]
As of 2019, the average life expectancy in Burundi is estimated at 62 years, up from 49 years in 2000. [6]
Source: [7]
1 | Low life expectancy | About 62 years |
2 | Food insecurity | Lack of proper nutrition |
3 | Long term effects of malnutrition on children | Underweight children |
4 | Low sources | The population expected to double in 2050 |
5 | Low reproductive health services | Lack of contraceptives, no family planning program |
6 | Poverty | Vast majority of people live on less than $3.10 per day |
7 | HIV/AIDS | 84000 of people were living with this disease in 2016, most of them are sex workers and men who have sex with men, increased condom uses and antiretroviral therapy |
8 | Other infectious diseases | Malaria, typhoid fever, hepatitis A, measles |
9 | Environmental issues | Floods, droughts, landslides |
10 | Life expectancy is increasing | However, it is increasing, this is lower than other countries like USA |
As of 2019, the top five causes of DALYs per 100,000 of the population in Burundi for both sexes, of all ages, were maternal and neonatal diseases, respiratory infections and tuberculosis, enteric infections, neglected tropical diseases (NTDs) and malaria, and "other non-communicable" diseases. [1]
The under-5 mortality rate in Burundi is 1.6 times higher than that WHO has estimated for the African region. As this list illustrates maternal and neonatal disorders are the first causes of DALYs but the death rate decreased from 100 deaths per 1000 live births in1996 to 80 deaths in 2016. [8]
These deaths have various causes but they have not been measured directly for each age group and gender. Research has shown that there are 3 main reasons for the hospitalization of children under 5 years. About 93% of all children aged 1 to 59 months old were hospitalized due to malaria, lung disease, or acute diarrhea. The malaria ratio was about 63%; this is why malaria is the main cause of death and hospitalization among choldren under five in Burundi. [8]
Various causes are playing a role in reducing the under-5 mortality rate. The government implemented a pilot program to increase deliveries in hospitals and reclaim the quality of antenatal care. Experienced nurses and skilled birth attendants can prevent maternal and neonatal deaths. Between the years 2004 and 2008 the proportion of children who were delivered in health facilities by qualified staff increased from 76% to 94%. [8]
Jeanne Gapiya-Niyonzima was the first person from the country to publicly admit they had HIV. [9] She founded the National Association of Support for Seropositive and AIDS Patients (ANSS). It was the first civil organisation in the country to provide support and treatment, including anti-retroviral therapy, for people with HIV and AIDS within the country. [10]
Abortion in Burundi is only legal if the abortion will save the woman's life or if the pregnancy gravely endangers the woman's physical, or potentially mental, health. In Burundi, two certified physicians must agree that the pregnancy is threatened before providing medical assistance. Even in cases in which a practitioner has deemed that the pregnancy has endangered the woman, both the physician and woman may be subject to prison time and fines. [11]
There are 3 regional hospitals, 15 provincial hospitals, 33 district hospitals, and 509 health centers in Burundi. [12] [13] Notable hospitals include:
Bujumbura, formerly Usumbura, is the economic capital, largest city and main port of Burundi. It ships most of the country's chief export, coffee, as well as cotton and tin ore. Bujumbura was formerly the country's political capital. In late December 2018, Burundian president Pierre Nkurunziza announced that he would follow through on a 2007 promise to return Gitega its former political capital status, with Bujumbura remaining as economical capital and center of commerce. A vote in the Parliament of Burundi made the change official on 16 January 2019, with all branches of government expected to move to Gitega within three years.
Gitega is one of the 18 provinces of Burundi. Its capital is Gitega, which is also the national capital. It has a population of 725,223 as of 2008 and an area of 1,979 square kilometres (764 sq mi).
Tropical diseases, especially malaria and tuberculosis, have long been a public health problem in Kenya. In recent years, infection with the human immunodeficiency virus (HIV), which causes acquired immune deficiency syndrome (AIDS), also has become a severe problem. Estimates of the incidence of infection differ widely.
Health care services in Nepal are provided by both public and private sectors and are generally regarded as failing to meet international standards. Prevalence of disease is significantly higher in Nepal than in other South Asian countries, especially in rural areas. Moreover, the country's topographical and sociological diversity results in periodic epidemics of infectious diseases, epizootics and natural hazards such as floods, forest fires, landslides, and earthquakes. But, recent surge in non-communicable diseases has emerged as the main public health concern and this accounts for more than two-thirds of total mortality in country. A large section of the population, particularly those living in rural poverty, are at risk of infection and mortality by communicable diseases, malnutrition and other health-related events. Nevertheless, some improvements in health care can be witnessed; most notably, there has been significant improvement in the field of maternal health. These improvements include:
Niger is a landlocked country located in West Africa and has Libya, Chad, Nigeria, Benin, Mali, Burkina Faso, and Algeria as its neighboring countries. Niger was French territory that got its independence in 1960 and its official language is French. Niger has an area of 1.267 million square kilometres, nevertheless, 80% of its land area spreads through the Sahara Desert.
Bangladesh is one of the most populous countries in the world, as well as having one of the fastest growing economies in the world. Consequently, Bangladesh faces challenges and opportunities in regards to public health. A remarkable metamorphosis has unfolded in Bangladesh, encompassing the demographic, health, and nutritional dimensions of its populace.
The current population of Myanmar is 54.05 million. It was 27.27 million in 1970. The general state of healthcare in Myanmar is poor. The military government of 1962-2011 spent anywhere from 0.5% to 3% of the country's GDP on healthcare. Healthcare in Myanmar is consistently ranked among the lowest in the world. In 2015, in congruence with a new democratic government, a series of healthcare reforms were enacted. In 2017, the reformed government spent 5.2% of GDP on healthcare expenditures. Health indicators have begun to improve as spending continues to increase. Patients continue to pay the majority of healthcare costs out of pocket. Although, out of pocket costs were reduced from 85% to 62% from 2014 to 2015. They continue to drop annually. The global average of healthcare costs paid out of pocket is 32%. Both public and private hospitals are understaffed due to a national shortage of doctors and nurses. Public hospitals lack many of the basic facilities and equipment. WHO consistently ranks Myanmar among the worst nations in healthcare.
Burundi is a unitary state which is sub-divided at three levels: provinces, communes, and collines (hills).
These are some of the articles related to Burundi on the English Wikipedia:
A landlocked sub-Saharan country, Burkina Faso is among the poorest countries in the world—44 percent of its population lives below the international poverty line of US$1.90 per day —and it ranks 185th out of 188 countries on UNDP's 2016 Human Development Index. Rapid population growth, gender inequality, and low levels of educational attainment contribute to food insecurity and poverty in Burkina Faso. The total population is just over 20 million with the estimated population growth rate is 3.1 percent per year and seven out of 10 Burkinabe are younger than 30. Total health care expenditures were an estimated 5% of GDP. Total expenditure on health per capita is 82 in 2014.
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