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The
world’s shortest life expectancy, largely caused by communicable and
parasitic diseases stamped out in the developed world; two thirds of the
global burden of HIV/Aids; widespread lack of clean water, sanitation
and nutrition; rising rates of chronic diseases such
as diabetes, hypertension, obesity and cancer – any one of Africa’s
healthcare challenges would be daunting in isolation. Together, they are
all but overwhelming.
How to respond? The Economist Intelligence Unit has some suggestions.
They are contained in a report published on Thursday, The future of healthcare in Africa, commissioned by Janssen Pharmaceutica, a Belgian subsidiary of Johnson & Johnson of the US.
As ever, the biggest challenge is financial. As the report puts it:
The improvement and extension of healthcare delivery in Africa is
also being constrained by gaps in financing. Sub-Saharan Africa makes
up 11% of the world’s population and accounts for a full 24% of the
global disease burden, according to the International Finance
Corporation.24 But the continent region commands less than 1% of global
health expenditure.
Here is its chart showing the shortfall in public spending
There is no sign of improvement in that situation – indeed, says the
report, seven countries have cut spending on health over the past
decade. A worsening of this situation is one of three trends the report
identifies that could prompt African nations to overhaul their health
services.
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