Essay On Djibouti

III. Djibouti Health Financing A significant portion of the healthcare in Djibouti is government funded public care at approximately 8.9% of their Gross Domestic Product, accounting for approximately 60% of the total government expenditure on healthcare (Who.int, 2014). The private sector funding in Djibouti has become increasingly significant (31.9% in 2011) (Who.int, 2014). Health expenditures in Djibouti are categorized as: (a.) external financing/assistance 29%, (b.) public funding 27%, personal responsibility 24%, and (d.) employers 20% (WHO, 2006) Djibouti requires significant external aid through foreign and non-governmental organizations which supplements the public and private sectors in Djibouti, primarily Medecins san Frontiers, The Red Sea
Djibouti has seen improved drinking water sources (92% overall) and improved sanitation (61% overall) over the last several decades (Who.int, 2014). However, Djibouti continues with poor life expectancy (60 years), excessive malnutrition rates (18.1%), high HIV, malaria and tuberculosis rates (Who.int, 2014). Djibouti ranks 164 out of 186 countries for the Human Development Index which consolidates life expectancy, education and per capita income as a measure of quality of life in the country (Who.int, 2014). Djibouti has an HIV epidemic due to limited HIV prevention, as well as a high prevalence and incidence of tuberculosis (Who.int, 2014). Unfortunately, 80% of HIV infections in Djibouti are diagnosed in the final stages of AIDS (US Department of State, 2016). Djibouti also faces the challenge of the third highest TB prevalence rate worldwide (US Department of State,