Friday, March 2, 2012

Redesigning Healthcare in Africa by Jonathan Wheatley

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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 
Source: Global Health Expenditure Database, World Health Organization / EIU

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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