doctors, and 216 nurses and midwives per 100,000 people. Additionally, in 2010, 99 per cent of births were attended by qualified health staff and in 2013, 99 per cent of one-year-olds were immunised with one dose of measles. In 2012, 94 per cent of the country’s population was using an improved drinking water source and, in 2010, 65 per cent had access to adequate sanitation facilities. Saint Lucia has two public hospitals, St Jude’s Hospital and Victoria Hospital, with the latter being the largest. There are district hospitals at Vieux Fort, Dennery and Soufriere that offer primary health care services and limited secondary care and emergency services. There are also more than 30 health centres. Saint Lucia has one privately run hospital, Tapion Hospital, and a number of other private facilities that provide specialised medical and dental services. Saint Lucia meets its pharmaceutical requirements solely through imports. Total expenditure on pharmaceuticals was about 1.6 per cent of GDP (US$15 million) in 2008. The government imports pharmaceuticals through the Pool Procurement Service of the S a i n t L u c i a Organisation of Eastern Caribbean States (PPS/OECS), enabling it to maximise the value of health care services to Saint Lucians through the advantages of buying in bulk collectively, along with neighbouring countries. Saint Lucia’s small pharmaceutical industry is regulated in part by the Pharmacy Council of Saint Lucia to ensure that it functions in the best interests of public health. The council licenses pharmacists, wholesalers, distributors/importers, exporters of medicines and pharmacies. The most recent act of parliament relating to mental health in Saint Lucia is the Mental Health Act 1957. Health MDGs: The Millennium Development Goals (MDGs) mature in 2015, but monitoring of progress is ongoing due to the time it takes to collect and analyse data from each country. For Saint Lucia to achieve its targets for the reduction of child mortality, which forms MDG 4, it should have reduced under-five deaths per 1,000 live births to eight and increased measles immunisation to 100 per cent when the 2015 data is analysed. In 2013 under-five mortality stood at 15 deaths per 1,000 live births and measles immunisation at 99 per cent – a significant improvement from 95 per cent in 2011. For Saint Lucia to achieve its targets for MDG 4 when the 2015 data is analysed, it will need to reduce under-five mortality by a third. Diabetes Respiratory diseases Commonwealth Health Partnerships 2015 247 Under-five mortality 25 20 15 10 1990 1995 2000 2005 2010 2015 Under-five mortality per 1,000 live births 2015 MDG 4 target 5 Life expectancy 1980 1990 2000 2013 Life expectancy Life expectancy in years 80 70 60 Mortality by cause of death (% of all deaths), 2008 Other NCDs Communicable, maternal, perinatal and nutritional Injuries Cardiovascular diseases Cancer Tuberculosis: Incidence and mortality 1990 2000 2010 Mortality excluding cases comorbid with HIV (per100,000 people) Incidence of tuberculosis (per 100,000 people) – including cases comorbid with HIV 30 25 20 15 10 5 0
Commonwealth Health Partnerships 2015
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