Namibia, anticipation of economic and humanitarian needs : health consequences of transition in Namibia

Resources for future development and manpower shortages, distribution and inadequacies are discussed. A review of the available literature suggests that health care services are readily available and accessible. However, key sources of data relating to morbidity and mortality are not available in reliable form from South African government sources. There is strong evidence of malnutrition in the reserves or homelands, requiring protein supplementation of the rural African diet. There is a lack of knowledge concerning the effective application of an adequate health care system designed to meet the needs of the individual as well as the community. Goals, priorities and objectives are not clearly defined, and there is no adherence to principles of sound management and organization in the present health care system. Until April, 1970, the mission hospitals provided primary hospital services in the Homelands. Increasing use is made of paramedical personnel. At various clinics they distribute medication and give injections until the next visit by a qualified physician. At present there are about 183 hospitals and clinics. In 1973 there were 143 general medical practitioners and 19 specialists in the territory. To solve the manpower problems facing Namibia, it needs to develop education programs for the medical, para-medical, and nursing personnel and to commit the necessary funds to this end. Immunization programs are critical to prevent epidemics of polio, tuberculosis, diptheria, tetanus, and pertussis. In general, curative services should be de-emphasized, with an increase in preventive and educational services.