Abstract
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Highlights
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Zambia is classified as a low-income country and has a population of 13.2 million people, of whom 51% reside in rural areas.[1]
There is a double burden of disease and, whilst the country still grapples with communicable diseases such as HIV and/or AIDS, tuberculosis and malaria, there is a growing problem of non-communicable diseases.[2]
Summary
Read online: Scan this QR code with your smart phone or mobile device to read online. Affiliations: 1Department of Public Health, Community and Family Medicine Unit, School of Medicine, University of Zambia, Lusaka, Zambia There are approximately 1400 facilities in the country’s health infrastructure, of which 85% are in the public sector and the remainder are either in the private or faith-based sectors.[3] The country faces a human resource crisis and has only about 1200 doctors,[4] which gives a ratio of 0.09 doctors per 1000 population, falling far short of the World Health Organization’s recommendation of at least 2.3 physicians per 1000, which would be sufficient to achieve coverage for primary healthcare.[5] Only about 650 doctors are in the public sector,[6] of whom the majority reside and work in urban areas,[4,6] which means that the disadvantaged rural areas depend on other healthcare providers, such as nurses and clinical officers, to provide services.
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