african health spending lags despite rapid economic growth

The little boy born before sunset was lucky.
Just after his mother sent him to the shawl, he had stopped breathing and she was lying in the crowded hospital ward of the provincial capital city, 100 miles north of Maputo.
Fortunately, there was a group of nurses outside several beds.
After Crazy, 15-
They fought for a few minutes with a suction machine and a ventilator bag to revive the baby.
There\'s no nurse in two hours.
There was no one in the ward until 7: 00 in the evening. m.
The boy is likely to die, and thousands of children die prematurely every year in this southern African country.
On the other side of the continent, Ebola has focused on the inability of the local health system to control major disease outbreaks.
But even in African countries that are not affected by the epidemic, the health system is struggling with insufficient funds and poor organization.
This hinders progress on basic health issues such as malaria, HIV/AIDS and infant mortality.
Although Mozambique\'s children are much more likely to survive than they were 20 years ago, they are still 15 times more likely to die before the age of 5 than American children.
\"Health care always seems to be at the end of the line,\" said Dr.
Little inasio chihango, the 31-year-
Old director of joke Hospital
Despite rapid economic growth, expenditures by countries, including Mozambique, in areas other than health care have led to too few clinics and beds in most parts of Africa, the system of doctors and health workers and linking them together is inadequate.
At Chokwe hospital, doctors have to use ultrasound machines since spring.
More than half the time in the past decade
According to the World Health Organization, the Sahara countries have either cut the share of government spending on health care or have barely increased.
In Mozambique, health care fell from 15% of the government\'s budget in 2001 to 9% in 2012.
Julian Schweitzer, former World Bank health director, said that while it is not enough to spend more, additional investment is often necessary and he is now available to the development results institute in developing countriesBased on non-profit organizations.
\"Systems have been established in successful countries.
They trained doctors and health workers, expanded insurance plans and created financial rewards. . . .
These countries have learned that you must do these things together.
\"In the past decade, Ethiopia, still one of the poorest countries in the world, has deployed nearly 40,000 community health workers.
Following the 1994 genocide, Rwanda established a national health insurance system and began rewarding clinics that provided proper care, such as giving birth in a medical facility rather than at home.
These two countries are among the 10 countries in the world that have achieved the UN\'s 2015 goal of reducing child and maternal mortality.
At a time when investment in health elsewhere in Africa lags even more worrying, many industrialized countries, including the United States, are under pressure to cut foreign aid in their own economic struggles.
According to data compiled by the University of Washington Institute of Health Metrics and assessment, after nearly doubling between 2000 and 2010, global health assistance has reached a stable level in the past four years.
Jean warned: \"There is still a lot of demand here.
Luc Anglade, head of the mission of Médecins Sans Frontières, Mozambique. The aid group —
Leading international response to Ebola in months
A new system has been developed to distribute drugs to people living with HIV/AIDS in Mozambique.
The infection rate in this country is the highest in the world.
Mozambique has discovered a large amount of coal and gas reserves in recent years, and the rapid growth of the country\'s economy has driven the hope that the national government will take responsibility for more of these health services.
Like many African cities, Maputo\'s economic growth is changing.
The sleeping capital, luxury hotels and bank buildings now stand above the soft Art Deco buildings built by Portuguese colonists in the last century.
In recent years, the government has built a new airport and stadium.
The huge villa is now located on the Indian Ocean coast, traveling north of town.
\"We don\'t have politicians talking about health.
There is no champion, \"said Jorge Martin, an CIP activist, CIP, a local advocacy group that highlights the shortcomings of Mozambique
Investment in health and reluctance to impose sufficient taxes on foreign companies.
\"Oil and gas are changing everything,\" he said . \"
\"But they are like a poisonous gift that looks beautiful. \"Dr.
Francisco Mbofana, Director of Public Health in Mozambique, insists that Mozambique\'s leaders will be committed to increasing investment.
\"Health care is a priority for the government,\" he said . \" He noted that thousands of community health workers are planned to be deployed in the coming years.
\"We look forward to more progress.
\"Not far from Joker, Zukura has some signs of change, a village of straw huts in the shade of banana plants and cashew trees.
Young community health worker Crisaldo Julio Mawelele dreams of becoming a doctor who often stops here to study hygiene and nutrition with villagers and to treat basic diseases.
Once she took care of a listless toddler, and her grandmother carried him back to a clearing in the center of the village.
The little boy recently treated for malaria and anemia is now suffering from severe diarrhea.
Mawelele sat on his grandmother\'s lap and examined him carefully, gave her grandmother a pack of electrolyte and ground a piece of zinc for him.
Mawelele, one of about 3,000 such health workers in the country, is part of a system jointly developed by the Ministry of Health and the United Nations Children\'s Fund (UNICEF.
The government aims to eventually expand the Army to 12,000.
In a country where doctors can be responsible for thousands of patients, health workers are the first line of defense against malaria, pneumonia and diarrhea, the three most deadly threats to young children
Many global health experts believe that the implementation of these projects will have a huge impact.
Each worker receives basic medical training and is equipped with a green bag containing basic diagnostic kits, antibiotics and other medicines for the three diseases.
Mawelele, who grew up in the village, said she liked the job.
She wants to do something to help her community.
But the challenges remain enormous.
UNICEF has delayed the transfer of the health worker program to the Ministry of Health because there are concerns that the program is not yet ready to operate independently.
As far as she is concerned, Mawelele faces her own obstacles.
For most of the year, she did not have a malaria bag and had to wait more than six months to get her salary from last year.
A fellowship section of the International Press Center and the United Nations Foundation supported the story.