C ommo nwe a l t h memb e r c o u n t r i e s 2012. There has been an overall rise in the levels of HIV over the period 1990–2012. The number of deaths from malaria has fallen overall since 2004, while the number of confirmed cases of the disease fluctuated throughout the period 2000–12, having shown an initial drop before rising back to earlier levels. Estimated incidence of tuberculosis (TB) has risen overall in the period 1990–2012 and estimated mortality (when mortality data excludes cases comorbid with HIV) has also increased during this time. The most commonly diagnosed mental illness in Guyana is schizophrenia. Health systems: In 2012 government expenditure on health was 4.3 per cent of GDP, equivalent to US$155 per capita. In the most recent survey, conducted between 1997 and 2010, there were 21 doctors, and 53 nurses and midwives per 100,000 people. Additionally, in 2009, 87 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, 98 per cent of people were using an improved drinking water source and 84 per cent had access to adequate sanitation facilities. Health and medical care in Guyana is provided by both public and private suppliers. The public health care system is highly decentralised and is administered through the Regional Democratic Councils and Regional Health Authorities, with ministerial oversight vested in the Ministry of Local Government and Regional Development. Public health care is primarily financed by the government, but contributions from the donor community also play a part. The Ministry of Health plays a central role in advising and co-ordinating public health care organisations, ensuring that public health services are developing in line with the government’s National Health Plan. The Public Hospital at Georgetown is Guyana’s national referral hospital. There are some 30 hospitals and many health centres throughout the country, with both public and private care available, the former usually free. The private health care sector operates independently but is subject to regulations that ensure standards of care and practice. There is significant involvement of non-governmental organisations in service delivery related to HIV/AIDS. A small pharmaceutical industry exists in the country producing a range of medicines, including antiretroviral treatments for HIV. The most recent act of parliament relating to mental health in Guyana is the Mental Health Ordinance 1930. Under-five mortality 80 70 60 50 40 30 1990 1995 2000 2005 2010 2015 Under-five mortality per 1,000 live births 2015 MDG 4 target 70 65 182 Commonwealth Health Partnerships 2015 20 Life expectancy and HIV/AIDS 1.5 1.2 0.9 0.6 0.3 1980 1990 2000 2013 Prevalence of HIV/AIDS among those aged 15–49 Life expectancy Prevalence of HIV, total (% of population aged 15-49) Life expectancy in years 60 0.0 Mortality by cause of death (% of all deaths), 2012 Injuries Communicable diseases, maternal, perinatal and nutritional conditions Non-communicable diseases 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 120 100 80 60 40 20 0
Commonwealth Health Partnerships 2015
To see the actual publication please follow the link above