Improving health care in Africa is no easy feat. It takes a lot education and due diligence. Africa ranks as the continent with the highest number of disease-related mortality due to inadequate health care delivery system. The life expectancy index for African countries is 15 years below that of most developed countries. This indication can be traced to so many factors ranging from poverty, lack of basic education, inadequate information technology, poor governance and other related issues plaguing the continent. Although Africa is a continent, the health care demands in most African countries will require the investment of not less than $25 billion in the next decade to address the poor health care delivery across the continent. To bridge the gap in the health care system and delivery in Africa, compared to advanced countries, I believe that these following measures should be implored with immediacy.
The internet has provided a large wealth of knowledge where users can source credible information on health issues. It can serve as a source of information to those who are far from medical facilities. People can get information about certain diseases prior to visiting a medical professional. Providing access to affordable internet can improve health care to a great deal. Knowledge is health: health is wealth. The cheaper and affordable the internet, the increase is its usage. The need to be vaccinated can be looked up on search engines, and proper understanding of vaccination can be obtained from information posted online. Awareness campaign about HIV/AIDS, malaria and Ebola which is one of the deadliest pandemic in Africa can be done using the radio stations and television outreach in local languages. Dietary habits and proper feeding is the most searched health related topics in the internet as more people are now aware of the necessity of healthy eating habits as a vital way to keep healthy. .
The level of literacy of a country’s citizens will go a long way towards improving health care delivery system. Citizens who during their course of acquiring education must have gone through various curricula on health education (no matter how elementary) and instructions to assist them in learning skills to make healthy choices throughout their lifetime. These choices to a larger extent will maintain and improve their health and hygiene, reduce risky habits, and prevent diseases. Education also makes treatment administration easier for patients who understand how to take medication to get the best results. Countries where education is affordable produce more medical practitioners to meet the demand of sick citizens. Most African countries cannot boast of more than five doctors to 1,000 people.
Infrastructure ranging from buildings – both medical and non-medical such as laboratories for diagnosis, medical equipment, ambulances, waste management system, ICT installations for communication and information acquisition, should be procured to improve the primary, secondary and tertiary health care delivery system in the continent, Africa. The African health care delivery and management system should invest a substantial portion of their annual budgets towards actualizing a better health manage system and policy. Africa as a whole spends less than 6% of its GDP on health care. The quality and success of health care delivery of a nation largely depends on the financial investment allocated to her health sector. Health care is better delivered to citizens when there are more hospitals; improved medical facilities and equipment. The African government should consider partnership between the public and private sector in providing medical infrastructure for accessible and affordable health care services.
Medical research should be improved to cover areas such as diagnosis, prognosis, medical biochemistry, medical microbiology, parasitology, pharmacology and toxicology. Establishment of research institutes that will provide applied researches in pandemics such as in the case of Ebola outbreak and how this the disease affects the black race. Medical research improves the health care structure of a country and increases the workforce in the health sector. Medical research promotes the treatment of diseases such as polio and measles by aiding the synthesis of vaccines and the production of improved drugs that were once resistant to diseases such as malaria and salmonella. The Educational system should introduce research course in their curriculum that are research-based to drive innovations in the health field.
African health practitioners face problem of reduced salaries and welfare. These challenges had made medical health officers travel overseas in search of higher wages and a higher standard of living. Nigeria for example witness brain drains annually with over 16,000 doctors in diaspora. The work load of health officers is high due to a low ratio of doctors to citizens. In both Nigeria and South Africa, it is 1 doctor to 1,000 people; while in Zimbabwe it is a doctor to 10,000 people. The numbers of graduating medical doctors needs to increase annually to reduce the work load on the very few medical practitioners. Government should revisit and improve the salary structure of health officers and quality welfare packages implemented to encourage doctors and other workers in the health field to stay within the boundaries of their countries and portray the spirit of true patriotism.
The World Health Organization (WHO) proposes that every country in the world is bound to one human right treaty that ensures that the right to health is given to her citizens. In view of this, countries provide health policies that address public health policy, Health Insurance Policy, Pharmaceutical policy, Food policy, Tobacco control policy, Vaccination policy, Breastfeeding policy, etc. These policies should cover aspects of access to medical profession, free medical counseling, medical research, Retirement Health Insurance Scheme and care for the old. It should also address availability to cheap drugs by subsidizing the cost of foreign drugs and organizing programs for acquisition of skills by medical staff to bridge the gap in medical innovations between developed countries and the underdeveloped African countries.
Demography is the statistical study of human population. Demography keeps a record of the dynamism in population. Demography covers studies and records such as birth, death, aging and migration of a population size, structure and distribution. By keeping a tract record of both deaths and births in a country, the government can propose budget for medical health services. Demography can also give an estimate of the total population size when considering immunization and vaccination campaign. It can also be used to calculate the death rate and gives an insight of the major causes of deaths in a specific population studies. Demography can be used to determine the work force of health care workers where the deployment of health personnel and staff can be done in times of needs. Population based research on diagnosis in times of pandemic can be aided with detailed demography. The WHO and other related world health governing bodies use demographic analysis of a region to give vital statistics to aid support and draw attention to regions where medical helps are required.
World billionaire Bill Gates and Melinda Gate foundation in conjunction with Africa's richest man Aliko Dangote came out with an initiative to fund the health sectors in developing countries across African. An initiative that lead to Nigeria successful eradication of polio. Private organizations and companies such as telecom, Petroleum sectors are encouraged to invest in health care delivery especially in their host communities. NGOs and Governmental Organization are encouraged to join the campaign to improve health care in Africa who rank low in world health indices. Beside these mentioned ways to improve health care in Africa, the continent needs to address emphatically Poor governance, terrorism, nepotism, tribalism, bizarre traditional and cultural belief and practices, gender equality and lots more to put Africa in the pedestal of quality living which most advanced world enjoy. The quality of health of a nation speaks more of her prospects
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