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By Mario J. Azevedo

This booklet specializes in Africa’s demanding situations, achievements, and screw ups during the last a number of centuries utilizing an interdisciplinary method that mixes concept and truth and evidence-based practices and interventions in public health and wellbeing, and argues that the majority of the illnesses in Africa usually are not as a result scarce or loss of assets, yet of the misconceived and lost priorities that experience left the continent at the back of another at the globe when it comes to future health, schooling, and equitable distribution of possibilities and entry to (quality) future health as agreed via the United countries member states at Alma-Ata in 1978.

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Extra info for Historical Perspectives on the State of Health and Health Systems in Africa, Volume II: The Modern Era

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Much of the health system left by the Portuguese at the time of independence in 1975 still remains almost intact in modern Mozambique, and most of the health facilities, especially hospitals, are almost exactly the same as left by the Portuguese, except that they continue to decay and have become smaller for a population that has grown THE STATE OF HEALTH SYSTEM(S) IN AFRICA: CHALLENGES... 6 million in 1975 to almost 25 million in 2015. The health system in Mozambique functions on four levels: primary, secondary, tertiary, and quaternary.

In their assessment, the two authors note that African systems are among the “most bureaucratic and least effective managed institutions in the public sector. ” The description could not be more accurate to anyone who has visited an African hospital to be treated, as chapters in this volume emphasize, ranging from an uncountable absenteeism to unauthorized financial charges by doctors that circumvent the official care provision in public and private health facilities to delays of treatment on alleged equipment failures.

In Malawi, for example, during the 1990s and 2000s, doctors did earn a relatively decent salary that was good as that of the average “wealthy” citizen. Yet, physicians and medical students have always been dissatisfied with the salaries, as they compare themselves with the college classmates that went on to become lawyers or accountants (each requiring fewer years of training than medicine) or the politicians who determined their pay. As Wendland notes, they see their peers owning luxurious cars, living in large modern houses, and sending their children to school without ever worrying about the fees.

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