Hard financial questions about soft development money [Archives:2005/836/Business & Economy]
The millennium project for Yemen (mdgs) until 2015 has diagnosed the health problem the country is suffering from and concluded that it is multi-featured such as epidemics, contagious, demic diseases and non-communicable diseases such as heart, veins and diabetes diseases. As well as diseases of the respiratory and digestive apparatuses, kidney, urinary tracks, cancers and liver diseases.
The project of which the Yemen Times obtained a copy, mentions that despite improvement of the health situation in general, there are more than 30 thousand Yemenis infected with malaria disease every year and 20 to 30 thousand die of malaria each year. Most of those fatalities are among children and women. It also mentions that diseases like tuberculosis, bilharzias, typhoid, liver infection, malnutrition and inflammation of meningitis, respiratory apparatus and diarrheas. Death is also caused by a drop in proportion of vaccination and delay in conveying services for giving birth. Ignorance of labour emergencies result in many death cases of both mothers and children. Most of those child fatalities are of newly born infants (from one to twenty-eight days of age), children of one month to one-year, and children from one year to five years of age. The project depends on health plans and programs as art of a strategy aimed at reaching results and purposes aimed to cure those diseases.
The project also indicates that Yemen suffers from high proportion of unemployment reaching 46% and majority of the population suffer from poverty and illiteracy. Those have added other burdens on the health sector and its services performance dropped lower. The project included scientific outlet of the deteriorated health situations through the realization of the goals of the millennium in cooperation with the United Nations and its organisations like the WHO, UNFPA, UNICEF and the world fund for fighting AIDS, malaria, tuberculosis and health partners such as US-AID, HRP PLUS, DFID, in addition to the existing cooperation with Holland, Germany, the World Bank, the European Union and the international alliance for development and vaccinations. The project has made it clear that health restructuring would achieve goals of the millennium in the health sector, evaluating and measuring effectiveness of health quality.
Policies and measures:
The project has also included the executive measures and policies for scoring positive results in the implementation of the project, the achievement of justice, high efficiency and transparency in health services. It has pinpointed its objectives to a large-scale participation of all society sectors in planning and implementation of health activities, making information available for revision and evaluation. In addition to reformation of incentive systems to health care and security that mothers get relevant services, fighting malaria and providing health awareness.
With regard to decentralization and enabling societies, the project has drawn up some aims, among them the enhancement of the role of committee entrusted with population activities in planning and health follow-ups, control and evaluating health activities, involvement of local leaderships and development of scientific studies to improve health services in districts.
The project estimated the total cost of the health sector services until the year 2015 at $ 13 billion, 916 million, 64 thousand and 203 hundred distributed over the years 2005-2015. The project has distributed those estimates on the cost of medicines, health supplies for mothers, family planning, child health, malaria, tuberculosis and AIDS. They are also distributed for the cost of infrastructure and human resources allocated to building, qualification, training and employment. In addition to the cost of cementing, the health regime through follow-ups and evaluation, health information and research, facilitation of access to basic medicines and boosting administrative capabilities. According to the estimates mentioned above the total cost of heath investments would rise from $950 million in 2006 to around $14 billion in 2015.
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