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Brief introduction of health situation in Somalia and Germany
Transcript of Brief introduction of health situation in Somalia and Germany
Tianqi Zhu Somalia vs. Germany Problems & discussion United nations, 2010 Population Structures Current situation Democratic state:
Western Federal Republic
of Germany 1990: Reunification
Inequalities between former
west and east Communist state:
Eastern German Democratic
Republic 1945: End of
World War II History brief Literacy: 99% Largest economy in Europe Civil law Federal republic Key role in European collaborations Germany Current situation Internally displaced ‘
and refugees 2012, september:
Hassan Sheikh Mahamud was elected for president 1970:
Transitional governing 1991:
- the Somali Civil war 1960:
Britain and Italy History brief Environment:
Recurrent droughts, dust storms,
use of contaminated water Illiteracy: 20% Extreme poverty: 43% Divided country Different types of laws;
secular, traditional Somali
and sharia law Violence, kidnappings, piracy Somalia Source: Busse, R and Riesberg A., 2004, and The Kaiser Family Foundation Universal healthcare since 1883 Healthcare system in Germany Source: Busse, R and Riesberg A., 2004 and Eurostat - Healthcare statistics Highest level of health care expenditure in the EU
Spent more than 11 of GDP on health care. However, the German health system has been criticized for not being cost-efficient Limitations Healthcare system in Somalia No private healthcare in socialist period Comparing 2005–2010 with 1985–1990: efficient screening tools, monitoring depressive disorders, better treatment programmes and -most importantly-healthy lifestyle promotion programmes Main health indicators Neuropsychiatric conditions 3,088 of 12,536 DALYs, WHO mental health <==> physical health disability in everyday living directly related to socio-economically disadvantaged are more vulnerable Better dietary habits and introduction of physical activity on everyday life Cardiovascular Diseases 2,392 of 12,536 DALYs, WHO Ischaemic heart diseases-19% of all deaths in 2001 Excess weight and physical inactivity, indirectly related to socio-economic disadvantaged For every 10 000 people there are 35 physicians, 80 nurses and 83 hospital beds. Reunification lead to better health equality Now private healthcare consist the majority in healthcare system life expectancy increased from 47 for all to 48.2 years for men and 51.0 years for women infant mortality fell from 152 to 109.6 physicians per 100,000 people rose from 3.4 to 4. Education level Civil situation Health care system median age/working force Communicable / non-communicable diseases Economy Wealth and health,
an unbreakable chain Two main health problems in Germany Two main health problems in Somalia http://www.who.int/gho/countries/som.pdf Somalia’s WHO Health Profile shows Communicable Diseases causing the majority of Deaths in the Country.
Diarrhoeal Diseases and Acute Respiratory Tract Infections are the high-burden communicable diseases of major concern. http://www.who.int/mediacentre/factsheets/fs330/en/index.html It’s both preventable and treatable. http://www.who.int/vaccine_research/diseases/ari/en/ Lower respiratory infections are responsible for more severe illnesses ex. Pneumonia, Influenza.. that are leading contributors to ARI mortality. Diarrhoel Diseases 7, 341 of all 68, 800 DALYs, WHO Mainly affects infants and young children. Results mainly from contaminated food and water sources Impacts health, economy, and social life of the population. Acute Respiratory Infections 11,182 of all 68, 800 Causes (DALY rates) Mainly affects infants and young children. Impacts health, economy, and social life of the population. It’s both preventable and treatable.