Infectious diseases and infant mortality are falling in Malawi thanks to targeted programmes. However, high population growth and epidemiological change pose major challenges to the health system. Screening, prevention, diagnosis and treatment of chronic and non-communicable diseases (NCDs), injuries and disabilities are becoming more important.
Madagascar is one of the poorest non-conflict countries worldwide with a weak health system. It is one of the countries with the highest prevalence of schistosomiasis worldwide. In Madagascar, 6.8 million people need treatment for the disease. Treatment is generally distributed through school-based mass drug administrations (MDA) hence children under 5 are typically not treated.
INF Surkhet has been providing fistula treatment since 2009. A fistula treatment centre was opened in 2018. Fistula patients live hidden lives and health workers’ knowledge about fistula is limited so that many are still unaware that treatment is available. INF runs an outreach programme in three provinces.
Affected by outbreaks of cholera, yellow fever and malaria, Uganda remains one of the world's HIV hotspots. The infection rate is around 10% of the population, with the Lake Victoria Islands and northern Uganda with its town of Gulu being the worst affected. About 20% of Uganda’s children are AIDS orphans. Uganda has the youngest population with an average age of 15.3 years. It is growing rapidly at 3.22% per year. Around 2 million girls under the age of 15 have a child every year.
Liberia has already made great progress in improving its health system. But challenges remain, especially in rural areas where 60% of people live more than an hour's walk from the nearest health facility: young children suffer from stunting, anemia and diarrhea, women are treated less frequently, and medicines are often in short supply.
Afar region has the lowest parameters in terms of education and health care nationwide, and maternal and infant mortality among the nomadic people is far above average. The follow-up project "Continuation of Basic Health Care and Maternal Health in the Afar Region" will improve these grievances through mobile health officers and birth attendants.
Progressively improving primary health care (with a focus on maternal and infant health) in 35 particularly disadvantaged districts in the Afar region.
In 2020, over one million people in Rwanda is physically disabled and therefore in need of rehabilitation and care. However, in the entire country there are only 12 orthopedic active workshops, which – in most cases – only use obsolete machinery and lack of basic materials for the manufacture of orthoses and prostheses.
Strengthening the Rwandan health system by providing specialized training and rehabilitation services throughout the country.
