September 6, 2011 / 4:04 PM / in 6 years

Chad, Somalia "worst places for child to fall ill"

By Kate Kelland
    LONDON, Sept 6 (Reuters) - Chad and Somalia are the worst
countries in the world for a child to fall sick while
Switzerland and Finland rank as the best, according to a new
index of health worker provision devised by the global health
charity Save the Children.
    The analysis shows that children living in the bottom 20
countries -- where there are only just over two health workers
for every thousand people -- are five times more likely to die
than those further up the index.
    The study also highlights countries such as Ethiopia,
Nigeria and Sierra Leone where millions of children's lives are
at risk due to a lack of trained health workers. 
    Justin Forsyth, Save the Children's chief executive, said
the findings were disturbing. 
    "A child's survival depends on where he or she is born in
the world. No mother should have to watch helplessly as her
child grows sick and dies, simply because there is no one
trained to help," he said in a statement. 
    "World leaders must tackle the health worker shortage and
realise that failing to invest in health workers will cost
    The index measures how many health workers there are, as
well as their reach and impact. It also tracks the proportion of
children who receive regular vaccinations and mothers who have
access to life-saving emergency care at birth.
    The analysis found that children living in the most remote
areas are least likely to see a health worker. In Ethiopia, for
example, just under 70 percent of women say that a clinic is too
far away, while in Sierra Leone, Uganda and Niger more than half
of all women surveyed said the health clinic is just too far for
them to reach. 
    The index was published ahead of a United Nations high level
summit due to be held in New York on Sept. 19 and 20 designed to
outline a global action plan on chronic diseases such as cancer,
heart disease, diabetes and lung disorders.
    Save the Children urged leaders to focus their efforts on
addressing a global shortage of more than 3.5 million doctors,
nurses, midwives and community health workers. 
    "Without them no vaccine can be administered, no life-saving
drugs prescribed and no woman can be given expert care during
her childbirth. Illnesses such as pneumonia and diarrhoea, which
are easily treated, become deadly," the charity said.    
    The top 20 and bottom 20 countries in the index were:
 Bottom 20          
 COUNTRY            RANK
 Madagascar         142
 Bangladesh         143
 Sierra Leone       144
 Uganda             145
 Liberia            146
 Afghanistan        147
 Guinea-Bissau      148
 Papua New Guinea   149
 Yemen              150
 Nepal              151
 Guinea             152
 Niger              153
 Timor-Leste        154
 Equatorial Guinea  155
 Cen. African Rep.  156
 Nigeria            157
 Ethiopia           158
 Lao P.D.R          159
 Somalia            160
 Chad               161

 Top 20              
 COUNTRY             RANK
 Switzerland         1
 Finland             2
 Ireland             3
 Norway              4
 Belarus             5
 Denmark             6
 Sweden              7
 Cuba                8
 Uzbekistan          9
 Germany             10
 Russian Federation  11
 France              12
 Czech Republic      13
 United Kingdom      14
 United States       15
 Kazakhstan          16
 Australia           17
 New Zealand         18
 Lithuania           19
 Qatar               20
 (Editing by Paul Casciato)

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