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HSH 769 Comparative Health Systems

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HSH 769 Comparative Health Systems

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HSH 769 Comparative Health Systems

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Course Code: HSH769
University: Deakin University

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Country: Australia

Question:
Describe about the Comparative Health Systems For African Country.

Answer:
Introduction:
Health needs of the sub-Saharan African countries have diversified considerably in the past few decades
National and local health policies have focused on the millennium development goals for the African nation (Who.int. 2018)
Brief synopsis or overview:
CHAD has evolved as a vast ethnically diverse sub Saharan African country.
Chad is a landlocked country located in the central Africa, and is bordered by Libya from north, Sudan from east, and it has the Central African Republic to its south, with Niger to the West (Everyculture.com 2018)
It is the fifth largest nation in Africa and has several regions, with an area of 495752 square miles, most of which is desert land, and the country is divided into three climatic ecological zones.
The population of Chad is approximately 7 million, has more than 100 languages, such as Nilo-Saharan and Afro-Asiatic (UNICEF 2018).     
The political structure is based on French civil law consist of the national assembly which is he deciding body consisting of 155 members that are elected after every 4 years.
The French conquest in the 1900s had been the most notable historical event that the nation has witnessed and it has had a significant impact on the socio-political and cultural aspects of the nation as well (Mawere 2014).
Brief history of the health system development:
As per 2004, there have been only 3 physicians, 15 nurses and 2 midwives per 100000 people in the nation.
many endemic diseases such as schistosomiasis, leprosy, malaria, spinal meningitis, tuberculosis, and malnutrition have persisted and are still prevailing (aho.afro.who.int 2018)
the health staff ratio being less than one per 1000 people and the nation only spends 3 % of the total budget on their health expenditure
Current health system performance:
The budget allocation and expenditure by the national government on the health care sector is alarmingly low
There is a significant lack of resources and infrastructure and coupled with advanced training and skills in the existing health workforce (IRIN 2018)
Diminished quality and safety of the health services and is not meeting the WHO benchmarks.
Only the people residing in developing towns such as Ndjamena and surrounding regions have the access to hospital or primary health care, the remote areas are still completely devoice of health care coverage and have to rely on traditional modes of healing (Who.int. 2018).
Conclusion
The nation has a health system which is lacking both resources and governance
Not able to meet any of the health system performance goals or benchmarks set by the WHO
There is need for better leadership framework and expenditure on health sector of Chad
Additional emphasis on resource or infrastructure improvement and proper training of health workforce is required
References
African Health Observatory. (2018). African Health Observatory. [online] Available at: https://www.aho.afro.who.int/profiles_information/index.php/Chad:Leadership_and_governance_-_The_Health_System#R.C3.A9sum.C3.A9_analytique [Accessed 8 Aug. 2018].
African Health Observatory. (2018). Health information, research, evidence and knowledge [online] Available at: https://www.aho.afro.who.int/profiles_information/index.php/Chad:Health_information,_research,_evidence_and_knowledge [Accessed 8 Aug. 2018].
Everyculture.com. (2018). Culture of Chad – history, people, clothing, traditions, women, beliefs, food, family, social. [online] Available at: https://www.everyculture.com/Bo-Co/Chad.html [Accessed 8 Aug. 2018].
IRIN. (2018). Chad’s health system struggles to combat malnutrition. [online] Available at: https://www.irinnews.org/report/97327/chad%E2%80%99s-health-system-struggles-combat-malnutrition [Accessed 8 Aug. 2018].
Mawere, M., 2014. Culture, indigenous knowledge and development in Africa: Reviving interconnections for sustainable development. Langaa Rpcig.
UNICEF. (2018). Statistics. [online] Available at: https://www.unicef.org/infobycountry/chad_statistics.html [Accessed 8 Aug. 2018].
WHO Western Pacific Region. (2018). The WHO Health Systems Framework. [online] Available at: https://www.wpro.who.int/health_services/health_systems_framework/en/ [Accessed 8 Aug. 2018].
Who.int. (2018). WHO | Chad. [online] Available at: https://www.who.int/workforcealliance/countries/tcd/en/ [Accessed 8 Aug. 2018]

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