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Healthcare in Chad

Healthcare funding in Chad, in comparison to some of its neighbours, remains well below the regional average. A lack of trained medical personnel and modern medical infrastructure has resulted in a large percentage of the population, particularly those living outside of the major cities and towns, having no access to medical facilities.

Government funds comprise approximately 55% of total health expenditure with the remainder provided by the private sector. Bilateral donations and grants from international organisations such as the World Health Organization (WHO) provide up to 10% of total health funding. Of the remaining private sector contributors, approximately 96% comes from out of pocket contributions. The final 4% is made up of funding from international donors, non-governmental organisations (NGOs) and charities.

In 2006, Chad spent approximately 13.8% of its total budget on healthcare, accounting for 53.9% of all healthcare spending. Total expenditure on healthcare equated to 4.9% of the country's GDP. Per capita health expenditure in 2007 was $29 (compared to $10 in 2000). There is one national hospital serving approximately 7.5 million people and four Prefectorate hospitals serving 950,000 people each. There are a further 52 district hospitals and 791 health centres. In 2000-07, there were 345 doctors (less than 1 per 10,000 population), 2,499 nurses (3 per 10,000 population), 154 community health workers and 15 dentists.

Two private facilities, both in the capital N’Djamena, are capable of providing international standard healthcare. They are the International SOS La Centre Medical International and the Europ Assistance HIS Clinic. It should be noted that both clinics generally only treat the resident expatriate community and are usually reluctant to provide medical care to the general population and travellers. Consequently, in the event of a serious accident or illness, all travellers are advised to obtain travel and medical insurance that specifically provides for medical evacuation to more advanced medical facilities in Europe.

Child mortality rates are high. The infant mortality rate (as of 2006) was 124 per 1,000 live births and the under-5 mortality rate was 209 per 1,000 live births. Malnutrition affects 25% of children under 5 years old and nearly 10% are severely malnourished. Vaccination coverage is very low: as of 2007, the vaccination rates were measles 23%, diphtheria 20%. In 2007 there were estimated to be 2,513 cases of tuberculosis, 441 cases of measles, 908 cases of meningitis, and 21 of polio. The major causes of childhood deaths are: malaria (18.1%), pneumonia (18.1%), diarrhoea (14.2%), measles (12.8%), and HIV/AIDS (3.1%).

In 2006, 48% of the population had sustainable access to potable water (71% of urban population). An estimated 9% of the population (23% of the urban population, 4% of the rural population) had sustainable access to improved sanitation.





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