News / Africa

World Bank Issues Regional Health Reports

Hassana Ousmane rests her head against the bed where her 21-month-old daughter, Zeinab, suffering from malaria, rests at the Princess Marie Louise Children's Hospital in Accra, Ghana, April 25, 2012.
Hassana Ousmane rests her head against the bed where her 21-month-old daughter, Zeinab, suffering from malaria, rests at the Princess Marie Louise Children's Hospital in Accra, Ghana, April 25, 2012.

Multimedia

Audio
  • Listen to De Capua report on World Bank health studies

Joe DeCapua
The World Bank has released new reports outlining the health challenges facing six major regions. Those challenges include not only many types of disease, but road accidents as well. The bank says the reports will help policymakers develop evidence-based health programs after the Millennium Development Goals expire.

The World Bank has released the reports in conjunction with the Institute for Health Metrics and Evaluation. Timothy Evans is the bank’s director of Health, Nutrition and Population.

“What we see when we look beyond the global picture is that there’s a lot of regional specificity to trends in the burden of disease. And so the regional focus just allows us more detail and attention to what’s happening in different regions of the world.”

He said the world is too diverse to have a one-size-fits-all health plan.

“That doesn’t work anywhere,” he said, “That doesn’t work globally. It doesn’t work regionally. It doesn’t even work within a country. So the more understanding you have of context and need the better able the system is to respond appropriately.”

Evans outlined the ongoing health challenges for sub-Saharan Africa.

“The big one remains communicable diseases. That relates to HIV and malaria, but also the childhood killers – diarrhea and pneumonia – being two of the biggest. And of all the regions in the world, sub-Saharan Africa is the only region where there are more deaths and life years lost from communicable diseases than other types of illness or injury,” he said.

Dramatic progress has been made against malaria through insecticide treated bed nets and indoor spraying. As for HIV/AIDS, greater access to antiretroviral drugs has saved many lives. Nevertheless, the World Bank regional report says these two diseases remain major health problems.

Road accidents are also a top killer, not only in sub-Saharan Africa, but in most of the regions studied.

Evans said, “What we’re seeing is a dramatic surge in mortality and injury from road traffic accidents. And this is a reflection of many, many, many more vehicles on the road – great increases in vehicle ownership -- and very inadequate investments in the infrastructure related to road traffic safety.”

The World Bank official said that the road accident fatality rates in Africa are a hundred times greater than those in the United States.

In North Africa and the Middle East, the MENA region, the health concerns are a bit different than those in sub-Saharan Africa.

“The large majority of the burden of disease is tied up in what we call the non-communicable diseases – the chronic illnesses -- diseases of aging and lifestyle. And so problems with high blood pressure, diabetes, obesity, stroke. These are the lion’s share of the burden of disease in the MENA region,” he said.

Much of North Africa and the Middle East has experienced and is experiencing violence and conflict. Evans says that has a direct effect on the health of populations in those countries – Syria, Libya and Egypt, for example.

Evans said, “Health does well in conditions of security. Health is really threatened in conditions of insecurity and it relates to some of the terrible violence that you see, which is often associated with situations where the normal rule of law has been lost and there’s armed violence and other sorts of problems. But the second is that the uncertainty often leads to mass movements of people across borders [and] into territories where they’re not necessarily welcome.”

What’s more, violence and conflict cause many skilled professionals to leave causing a brain drain.

The World Bank has also issued health reports for other four other regions.

In South Asia, much progress has been made regarding communicable diseases and maternal health. However, the region is hard hit by chronic illnesses, such as diabetes and cardiovascular disease. Child undernutrition also remains a big problem.

East Asia and the Pacific have some of the world’s highest rates of diabetes and a high fatality rate from road accidents.

In Eastern Europe and Central Asia, the World Bank says alcohol related illnesses are a major problem, along with communicable diseases, such as HIV.

And the Latin America and the Caribbean region is seeing an increase in ischemic heart disease or reduced blood flow to the heart, as well as big increases in depression and low back pain.

The World Bank provides two forms of support for the regions: loans and information to help formulate health plans. The information is expected to be used to evaluate the success of the expiring Millennium Development Goals and in deciding what, if anything, will replace them after 2015.

You May Like

US Border Patrol Union Accused of Taking Sides on Immigration

Report alleges agents leaking info to immigration opponents, appearing at their private events; Center for Immigration Studies director defends agents' actions More

Video Blind Somali Journalist Defies Odds in Mogadishu

Reporting from Somali capital for past decade, Abdifatah Hassan Kalgacal has been working at one of Mogadishu's leading radio stations covering parliament More

Video Rights Monitor: Hate Groups' Use of Internet to Inflame, Recruit Growing

Wiesenthal Center's Abraham Cooper says extremists have become skilled at celebrating violence, ideology on Web More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Hate Groups Spread Influence Via Interneti
X
Mike O'Sullivan
June 30, 2015 8:20 PM
Hate groups of various kinds are using the Internet for propaganda and recruitment, and a Jewish human rights organization that monitors these groups, the Simon Wiesenthal Center, says their influence is growing. The messages are different, but the calls to hatred or violence are similar. VOA's Mike O’Sullivan reports.
Video

Video Hate Groups Spread Influence Via Internet

Hate groups of various kinds are using the Internet for propaganda and recruitment, and a Jewish human rights organization that monitors these groups, the Simon Wiesenthal Center, says their influence is growing. The messages are different, but the calls to hatred or violence are similar. VOA's Mike O’Sullivan reports.
Video

Video US Silica Sand Mining Surge Worries Illinois Residents, Businesses

Increased domestic U.S. oil and gas production, thanks to advances known as “fracking,” has created a boom for other industries supporting that extraction. Demand for silica sand, used in fracking, could triple over the next five years. In the Midwest state of Illinois, people living near the mines are worried about how increased silica sand mining will affect their businesses and their health. VOA’s Kane Farabaugh has more in this first of a series of reports.
Video

Video Blind Somali Journalist Defies Odds in Mogadishu

Despite improving security in the last few years, Somalia remains one of the most dangerous countries to be a journalist – even more so for someone who cannot see. Abdulaziz Billow has the story of journalist Abdifatah Hassan Kalgacal, who has been reporting from the Somali capital for the last decade despite being blind.
Video

Video Texas Defies Same-Sex Marriage Ruling

Texas state officials have criticized the US Supreme Court decision giving same-sex couples the right to marry nationwide. The attorney general of Texas says last week's decision did not overrule constitutional "rights of religious liberty," and therefore officials performing wedding services can refuse to perform them for same-sex couples if it is against their religious beliefs. Zlatica Hoke reports on the controversy.
Video

Video Syrians Flee IS Advance in Hasaka

The Syrian government said Monday it has taken back one of several districts in Hasaka overrun by Islamic State militants. But continued fighting elsewhere in the northern city has forced thousands of civilians from their homes. In this report narrated by Bill Rodgers, VOA Kurdish Service reporter Zana Omer describes the scene in Amouda, where some of the displaced are taking refuge.
Video

Video Rabbi Hits Road to Heal Jewish-Muslim Relations in France

France is on high alert after last week's terrorist attack near the city Lyon, just six months after deadly Paris shootings. The attack have added new tensions to relations between French Jews and Muslims. France’s Jewish and Muslim communities also share a common heritage, though, and as far as one French rabbi is concerned, they are destined to be friends. From the Paris suburb of La Courneuve, Lisa Bryant reports about Rabbi Michel Serfaty and his friendship bus.
Video

Video S. Korea Christians Protest Gay Rights Festival

The U.S. Supreme Court decision mandating marriage equality nationwide has energized gay rights supporters around the world. Gay rights remain a highly contentious issue in a key U.S. ally, South Korea, where police did a deft job Sunday of preventing potential clashes between Christian protesters and gay activists. Kurt Achin reports from Seoul.
Video

Video Saudi Leaks Expose ‘Checkbook Diplomacy’ In Battle With Iran

Saudi Arabia’s willingness to wield its oil money on the global diplomatic stage appears to have been laid bare, after the website WikiLeaks published tens of thousands of leaked cables from Riyadh’s Ministry of Foreign Affairs. VOA's Henry Ridgwell reports.
Video

Video Nubians in Kenya Face Land Challenges

East Africa's ethnic Nubians have a rich cultural history that dates back thousands of years, but in Kenya they are facing hardships, including the loss of lands they have lived on for generations. They say the government has reneged on its pledge to award them title deeds for the plots. VOA's Lenny Ruvaga reports.
Video

Video Military Experts Question New Russian Tank Capabilities

Russia has been showing off its new tank design – the Armata T-14. Designers claim it is 20 years ahead of current Western designs - and driving it feels like playing a computer game. But military analysts question those assertions, and warn the cost could be too heavy a burden for Russia’s struggling economy. Henry Ridgwell reports.
Video

Video In Kenya, Police Said to Shoot First, Ask Questions Later

An organization that documents torture and extrajudicial killings says Kenyan police were responsible for 1,252 shooting deaths in five cities, including Nairobi, between 2009 and 2014, representing 67 percent of all gun deaths in the areas reviewed. Gabe Joselow has more from Nairobi.
Video

Video In Syrian Crisis, Social Media Offer Small Comforts

Za’atari, a makeshift city in Jordan, may be the only Syrian refugee camp to tweet its activities, in an effort to keep donors motivated as the war in Syria intensifies and the humanitarian crisis deepens. Inside the camp, families say mobile phone applications help hold together families that are physically torn apart. VOA’s Heather Murdock reports.

VOA Blogs