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Commonwealth Health Partnerships 2015

C ommo nwe a l t h memb e r c o u n t r i e s per cent of the country’s population had access to adequate sanitation facilities and 97 per cent had access to an improved source of water. Health care is provided mainly by the Seychelles government. The country has a three-tier health care system. A youth health centre and 16 district health centres located throughout the country provide primary level care (2009). There is one central referral hospital at the tertiary level, Seychelles Hospital, and five hospitals (including a mental and a rehabilitative hospital) at the secondary level. There are also 26 private medical, dental and optometry clinics offering primary health care, referring patients to government-run secondary and tertiary care services when required. Highly specialised treatment takes place overseas, with the government providing most of the funding (at a total cost of US$1.53 million in 2013). As there is no local manufacturing in the Seychelles, the country’s pharmaceutical requirements are met entirely by imports. There are no legal provisions for regulating the private-sector pharmaceutical market. The most recent act of parliament relating to mental health in Seychelles is the Mental Health Act, which came into effect in 2009. 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 Seychelles to achieve its targets for the reduction of child mortality, which form MDG 4, it should have reduced under-five deaths per 1,000 live births to six and increased measles immunisation to 100 per cent when the 2015 data is analysed. In 2013 under-five mortality stood at 14 deaths per 1,000 live births and measles immunisation at 97 per cent. While the measles immunisation target is close to being achieved, the under-five mortality rate is more than double the target figure. The global MDG 5 target for maternal health is to reduce the number of women who die in pregnancy and childbirth by threequarters between 1990 and 2015. In 2008 maternal mortality in Seychelles was 57 deaths per 100,000 live births (an estimate from UN agencies/World Bank). The 2013 maternal mortality ratio was again 57 deaths per 100,000 live births (adjusted). The target for Seychelles is unclear due to a lack of available data from 1990. MDG 6 aims for a reduction in the prevalence of HIV, malaria and other diseases. Progress needs to be made in reducing deaths from Under-five mortality 1990 1995 2000 2005 2010 2015 Under-five mortality per 1,000 live births 2015 MDG 4 target 20 15 10 75 74 73 72 71 256 Commonwealth Health Partnerships 2015 5 Life expectancy 1980 1990 2000 2013 Life expectancy Life expectancy in years Diabetes Respiratory diseases 70 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 80 70 60 50 40 30 20 10 0


Commonwealth Health Partnerships 2015
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