The first health care facility in Djibouti was opened in 1897 by the Ethiopian Railways Company, which was later purchased by the state in 1901. It was expanded to include a facility for tuberculosis patients and included 12 new beds for the medically indigent. In 1949, the number of beds increased to 330. Additionally, a laboratory and the ability to treat patients with pulmonary diseases was added. The facility was expanded again in 1953, adding a surgical unit named after Guibert Germain and a blood transfusion unit. The hospital was renamed in 1955 after General Peltier to commemorate his service as a chief physician for 25 years. Additional operating theaters were added the same year. The facility expanded again in 1968 to include a 35 bed maternal ward and 30 beds for eye and ENT. [1] : 30
In 2010 there were an estimated 23 physicians and 80 nurses per 100,000 people. [2] Since healthcare in the region is so poor, more than a third of the healthcare recipients are migrants. Healthcare is best in the capital; outside the capital it is limited by poor infrastructure, equipment shortages, and a lack of qualified personnel. [3]
There were 56 medical facilities in Djibouti in 2019, including hospitals, medical centers, and health posts. [4] The following are some of the hospitals in Djibouti: [5]
A lack of infrastructure outside of cities means that rural residents have worse access to healthcare.
Life expectancy has increased by 18 years since 1960.
Year | Male | Female | Total |
---|---|---|---|
1960 | 42.7 | 45.4 | 44.0 |
1970 | 47.8 | 50.6 | 49.1 |
1980 | 52.1 | 55.2 | 53.6 |
1990 | 55.1 | 58.3 | 56.7 |
2000 | 55.5 | 58.6 | 57.0 |
2010 | 58.9 | 61.9 | 60.4 |
2014 | 60.4 | 63.7 | 62.0 |
Infant mortality has decreased by 38.5 deaths per 1,000 live births since 1990.
Year | Male | Female | Total |
---|---|---|---|
1990 | 100.6 | 84.4 | 92.7 |
2000 | 86.5 | 72.6 | 79.7 |
2010 | 67.7 | 56.3 | 62.2 |
2015 | 59.2 | 49.1 | 54.2 |
Djibouti's birth rate is 23.6/1,000 inhabitants, while its death rate is 7.6 deaths/1,000 inhabitants. The maternal rate is 2.29 deaths/1,000 inhabitants. [3] The death rate was 7.73 deaths per 1,000 inhabitants. [2]
The prevalence of HIV/AIDS in Djibouti was 1.6% of the population for those aged 15–49 years old (9,400 people) as of 2015. [2] [3] In 2015, there were an estimated 600 deaths from AIDS. [3]
As of 2012, 29.8% of children under five were underweight. [3] In Djibouti, 93.1% females had female genital mutilation as of 2006. [2] Female genital mutilation in Djibouti is a leading cause of infant and maternal mortality, and it continues to be prevalent to this day, despite a 1995 law prohibiting the practice. [3]
Djibouti is a country in the Horn of Africa. It is bordered by Eritrea in the north, Ethiopia in the west and south, and Somalia in the southeast. To the east is its coastline on the Red Sea and the Gulf of Aden. Rainfall is sparse, and most of the territory has a semi-arid to arid environment. Lake Assal is a saline lake which lies 155 m (509 ft) below sea level, making it the lowest point on land in Africa and the third-lowest point on Earth after the Sea of Galilee and the Dead Sea. Djibouti has the fifth smallest population in Africa. Djibouti's major settlements include the capital Djibouti City, the port towns of Tadjoura and Obock, and the southern cities of Ali Sabieh and Dikhil. It is the forty-six country by area in Africa and 147st largest country in the world by land area, covering a total of 23,200 km2 (9,000 sq mi), of which 23,180 km2 (8,950 sq mi) is land and 20 km2 (7.7 sq mi) is water.
Ali Sabieh Region is a region in southern Djibouti. With a mainland area of 2,400 square kilometres, it lies along the national border with Somaliland and Ethiopia, bordering also the Dikhil Region to the west and the Arta Region to the north. Its capital is Ali Sabieh. The Arrei Mountains are the highest point in the region.
Ali Sabieh is the second largest city in Djibouti. It is situated about 98 kilometres Southwest of Djibouti City and 10 km (6 mi) north of the border with Ethiopia. It sprawls on a wide basin surrounded by granitic mountains on all sides. The famous landmark of Ali Sabieh is located near the city.
After the Bolivarian Revolution, extensive inoculation programs and the availability of low- or no-cost health care provided by the Venezuelan Institute of Social Security made Venezuela's health care infrastructure one of the more advanced in Latin America.
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.
Although emphasized by the country's ruling Baath Party and improving significantly in recent years, health in Syria has been declining due to the ongoing civil war. The war which has left 60% of the population food insecure and saw the collapse of the Syrian economy, the surging prices of basic needs, the plummeting of the Syrian pound, the destruction of many hospitals nationwide, the deterioration in the functionality of some medical equipment due to the lack of spare parts and maintenance, and shortages of drugs and medical supplies due to sanctions and corruption.
In the post-Soviet era, the quality of Uzbekistan’s health care has declined. Between 1992 and 2003, spending on health care and the ratio of hospital beds to population both decreased by nearly 50 percent, and Russian emigration in that decade deprived the health system of many practitioners. In 2004 Uzbekistan had 53 hospital beds per 10,000 population. Basic medical supplies such as disposable needles, anesthetics, and antibiotics are in very short supply. Although all citizens nominally are entitled to free health care, in the post-Soviet era bribery has become a common way to bypass the slow and limited service of the state system. In the early 2000s, policy has focused on improving primary health care facilities and cutting the cost of inpatient facilities. The state budget for 2006 allotted 11.1 percent to health expenditures, compared with 10.9 percent in 2005.
Healthcare in Afghanistan is slowly improving after it was almost non-existent due to the decades of war. Currently, there are over 3,000 health facilities found throughout Afghanistan. More than 17,000 health posts have been established in the country, including the first neurosurgery hospital. Latest reports say 38,000 Afghan women work as midwives. Despite the improvements made in the last two decades, Afghanistan's healthcare system remains poor when compared with any of its neighboring countries.
Healthcare in Georgia is provided by a universal health care system under which the state funds medical treatment in a mainly privatized system of medical facilities. In 2013, the enactment of a universal health care program triggered universal coverage of government-sponsored medical care of the population and improving access to health care services. Responsibility for purchasing publicly financed health services lies with the Social Service Agency (SSA).
Botswana's healthcare system has been steadily improving and expanding its infrastructure to become more accessible. The country's position as an upper middle-income country has allowed them to make strides in universal healthcare access for much of Botswana's population. The majority of the Botswana's 2.3 million inhabitants now live within five kilometers of a healthcare facility. As a result, the infant mortality and maternal mortality rates have been on a steady decline. The country's improving healthcare infrastructure has also been reflected in an increase of the average life expectancy from birth, with nearly all births occurring in healthcare facilities.
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.
Health in the Central African Republic has been degraded by years of internal conflict and economic turmoil since independence from France in 1960. One sixth of the country's population is in need of acute medical care. Endemic diseases put a high demand on the health infrastructure, which requires outside assistance to sustain itself.
The Human Rights Measurement Initiative finds that the Ivory Coast is fulfilling 55.8% of what it should be fulfilling for the right to health based on its level of income. When looking at the right to health with respect to children, the Ivory Coast achieves 78.5% of what is expected based on its current income. In regards to the right to health amongst the adult population, the country achieves only 62.1% of what is expected based on the nation's level of income. The Ivory Coast falls into the "very bad" category when evaluating the right to reproductive health because the nation is fulfilling only 26.7% of what the nation is expected to achieve based on the resources (income) it has available.
Guinea faces a number of ongoing health challenges.
Lesotho's Human development index value for 2018 was 0.518—which put the country in the low human development category—positioning it at 164 out of 189 countries and territories. Health care services in Lesotho are delivered primarily by the government and the Christian Health Association of Lesotho. Access to health services is difficult for many people, especially in rural areas. The country's health system is challenged by the relentless increase of the burden of disease brought about by AIDS, and a lack of expertise and human resources. Serious emergencies are often referred to neighbouring South Africa. The largest contribution to mortality in Lesotho are communicable diseases, maternal, perinatal and nutritional conditions.
The Djiboutian National Army is the largest branch of the Djibouti Armed Forces and is based in the Djiboutian capital of Djibouti. Djibouti has upgraded its Ground Forces with advanced additions from domestic engineering and modifications. It must operate in mountainous and other rugged terrain, but it must do this without affecting the mechanized capability that is needed to confront regional forces.
Expenditure on health in Senegal was 4.7% of GDP in 2014, US$107 per capita.
Healthcare in Somalia is largely in the private sector. It is regulated by the Ministry of Health of the Federal Government of Somalia. In March 2013, the central authorities launched the Health Sector Strategic Plans (HSSPs), a new national health system that aims to provide universal basic healthcare to all citizens by 2016. Somalia has the highest prevalence of mental illness in the world, according to the World Health organization. Some polls have ranked Somalis as the happiest people in Sub-Saharan Africa.
The 2018 Coupe de Djibouti is the 2018 edition of the Coupe de Djibouti, the knockout football competition of Djibouti.
Women's rights in Djibouti are a source of concern for various human rights organizations, both within Djibouti and without. While minority groups are represented at all levels of the government, they effectively have no power to alter legislation, due to the repressive nature of the regime. Despite a legal quota that ensures that women hold at least 25 percent of the seats in the National Assembly, they remain underrepresented in leadership positions. Over 60% of women are illiterate. They face barriers to employment and appropriate health care. Rates of female genital mutilation remain high despite campaigns dating back to the 1980s.
This article incorporates text from this source, which is in the public domain . Country Studies. Federal Research Division.