Tag: Health

How China is redefining medical science and services

Posted on By Sino Uganda Research Centre

By Ernest Jovan Talwana

China prides as one of the most ancient medical civilisations with astonishing accomplishments in traditional herbal remedies. It is also now home to the sharpest cutting-edge biomedical research industry. China’s regular advancements in medical science discoveries are a great promise for the improvement of global health.

Chinese scientists at universities and health agencies tirelessly research the causes of illnesses, prevention measures and cures. They have even discovered efficient treatments for tropical illnesses like malaria while using traditional Chinese medicine.

Several conditions make China a conducive country for wide scientific research and innovation. Being a densely populated country, China has the opportunity of having a diversity of demographic spread across diverse terrains. This implies that its medical evolutions have to cater for a multitude of residents from several geographical spreads. As such, when they make a discovery, it can more easily correspond to the medical needs of other countries due to the inherent breadth of tests and applications (such as different disease patterns, diets and lifestyles) such medicine would have undergone before being approved.

The strides the country has made in public health have seen it nearly double its people’s life expectancy in less than fifty years, with their life expectancy now standing above 78 years. One of the major determinants of life expectancy is lower infant mortality. By 2023, China’s infant mortality rate had dropped to 4.5 per 1,000, meaning out of 1,000 children born in China, less than five are likely to die. Additionally, the mortality rate among children under five years was 6.2 per 1,000. On the other hand, the maternal mortality rate decreased to 15.1 per 100,000, meaning only 15 out of 100,000 women are likely to die while giving birth in China. In contrast, about 16 women die in Uganda per day while giving birth!

In recent years, China has produced peerless achievements in medical science and technology. This has contributed not only to the expansion of the frontiers of global scientific research but has also improved social conditions for humanity.

China has invested substantially in expanding health infrastructure. It has nearly implemented universal health insurance coverage for its huge population. The country has also promoted equal access to public health services by establishing a national essential medicine system. This has fundamentally improved the accessibility of health services.

One of the most inspiring aspects of China’s healthcare system is how it has achieved better health outcomes with less input. Few countries in the world have been able to do this, such as Cuba in South America and in Africa, only Rwanda.

However, with the Chinese population over the age of 65 at about 140 million, China has started to experience the challenges of other higher-income countries. With higher economic growth, fast changes in consumption patterns of its citizens have led to lifestyle diseases, hence demanding an increased expenditure on health care. However, regardless of these emerging needs, it cannot be forgotten that it took rich countries twice the length of time it took China to achieve the same gains in public health care.

In redefining medical science and services, China promoted a people-centred integration of care (PCIC) to ensure that the health system places more emphasis on people’s needs. It has been deliberate about its capital investment decisions by reinforcing and strengthening primary health care (PHC) so that the population can obtain access to affordable health anywhere and at anytime.

China’s health sector is one of the fastest growing globally. Chinese corporations such as Huawei are setting higher standards in digital health innovation. For instance, one of Huawei’s latest innovations is the HUAWEI TruSense System, which promises to bring accurate health tracking that has the potential to improve the health of many people across the world. It has exported over 150 million wearable devices, with over 520 million users of its Health app.

It is beyond doubt that medical science is among the highest achievements of the human race. By contributing to its advancement, China is advancing not just the treatment of disease but raising the measure of what humankind is capable of. From mastering rapid genome sequencing which saw Chinese scientists release the genetic sequence of the coronavirus in as fast as 10 days, to inventing neurosurgery robots that can fluently perform minor invasive surgeries; from building Cloud-based hospitals to ease setting appointments; obtaining referrals; and getting treatment for citizens, to performing safe surgeries using 5G-operated medical machinery, China is redefining what we think is possible in medical science and expanding the means of providing medical services. We should not just look by as Africa, but learn and catch up!

The author is a research fellow at the Development Watch Center.

 

 

 

Medical Diplomacy: China is Building a Community of Shared Prosperity for Mankind

Posted on By Sino Uganda Research Centre

By Dr. Ham Wasswa Matovu

Last week, a team of Ugandan medical experts from district hospitals arrived in Beijing China. Funded by the Chinese government, the team will spend three weeks in China at one of the country’s top Universities, Tsinghua University to attend a Seminar on Health Care and Public Health.  This will boost their public health knowledge and health systems management so as to be able to make a tangible contribution when they return home.

Aware that China is one of few developing countries with a robust and well-functioning health system in the world, there is no doubt that the seminar will equip of medical team with the much-needed expertise and experience which will in turn help contribute in strengthening Uganda’s health sector. Through on his X account (formerly twitter,) Chinese Ambassador to Uganda His Excellency Zhang Lizhong explained that Uganda’s team in Beijing for the seminar under the arrangement of medical cooperation adding that; “delighted to see China-Uganda health communication & cooperation deepening through closer people-to-people exchanges.”

Studies indicate that despite some progress in addressing health sector challenges, African countries still face challenges among others limited training. A 2022 study published in the British Medical Journal Global Health which surveyed 47 African countries stressed the lack of refresher courses as a major challenge facing the health sector in the region. The study entitled “the health workforce status in the WHO African Region: findings of a cross-sectional study,” revealed that the region’s ratio of well-trained health workers is 1.55 per 1000 people which is below the World Health Organisation’s (WHO) recommended 4.45 health personnel per 10000 people.

The continent’s health sector challenges are a result of many factors among others inadequate or no training capacity, rapid population growth, weak governance of the health workforce, career changes and poor retention of health worker. In 2022, the WHO projected that the shortage of well-trained health personnel in Africa will grow to 6,100,000 by the year 2030 which is increment of about 45% if compared with figures of 2013 when the last projections were made.

The study; “the health workforce status in the WHO African Region: findings of a cross-sectional study,” recommended that to address these challenges, African countries must put up measures meant to boost training and recruitment of health workers, improve their deployment and retention and increase investments for building respective country’s health workforce to meet their current and future needs.

Reflecting on the above, one can only conclude that such trainings are needed our health sector to grow. China has a rich experience in this field. The country has had several reforms in their medical sector which has seen them become one of few countries with a robust functioning healthcare system and consequently significantly increased their life expectancy which is expected to even get better by the year 2035.

In 2007 for example, China embarked on planning another reform. In 2009, in consultation with the Central Committee of the Communist Party of China, on 6th April 2009, China’s State Council passed China’s Health Care Reform Plan promising to provide a universal primary health service to then country’s 1.3 billion people with the main being “everyone to enjoy basic health care services. Under this health care reform plan, it is the Government’s responsibility to build a safe, effective, convenient and inexpensive health care system covering both urban and rural residents.

Its major aim was universal health coverage by 2020 through strengthening health care delivery, health security and provision of essential medicines. This policy reform is a long-term endeavor but the returns are worth the investments. In 2022, China listed other key tasks for healthcare reforms major among them being the development of a multi-tiered insurance system.

In order to get the job done, the state council set up a state council health systems reform office where the activities of the reform would be coordinated. The following were the policy reforms.

Under social health security, the social health insurance package was extended, medical aid was extended to the eligible poor and those with catastrophic medical expenditure. The payment system was also reformed. Through this, 95% of the population has been covered by health insurance schemes by the end of 2017 and the so-called catastrophic health insurance introduced in all provinces.

Such a system in Uganda would reduce the burden of out of the pocket health expenditure and reduce suffering of many that find it hard to meet medical bills.

Today, China is implementing Healthy China 2030. The “Healthy China 2030” blueprint, was introduced by the Communist Party of China (CPC) Central Committee and the State Council, and it includes 29 chapters that cover key areas that focus on areas like public health services, environment management, the medical industry, and food and drug safety. The Primary goal of “healthy China 2030 is ‘all for Health” while its long-term goal is a universal health security system for China.

Important to note is that “Healthy China 2030” emphases disease prevention and encouraging people to adopt healthy lifestyles, improving the public health service system with aim of ensuring that ordinary residents will have their medical problems diagnosed earlier and so get timely treatment. Lastly, China wants to increase its citizens’ average life expectancy up from 76.34 recorded for 2015, to 77.3 by 2020 and 81 by 2035.

Aware that China is a developing country but has managed to achieve that much, even when it is quite challenging for the African setting, we ought to start on our own reforms. Like the Chinese say, a journey of 1000 miles starts with a single step. For Uganda, the journey should start with these training opportunities China is extending to Ugandan health workers through China-Uganda health communication & cooperation so that together, we continue efforts of building a community of shared for future for mankind in the new era of win-win cooperation.

Ham Wasswa Matovu is a medical doctor and research fellow at the Development Watch Centre.

Building A Prosperous Society of People Free From Toil And Want: Lessons From China

Posted on By Sino Uganda Research Centre

The government of the People’s Republic of China began to work for a moderately prosperous society, one they called xiaokang in 1980. This was a fight against poverty with aim of achieving decent life and improvement of human rights in the country. The major aim wasn’t necessarily being rich but so that the people are free from want and toil. The Chinese Communist Party of China (CPC) and the government basically wanted the people to have peace, stability and happiness.  They pushed for growth in all aspects of economic development whilst leaving no individual element like social, economic, cultural etc lacking.

It didn’t come with their hands folded, they had to input a lot which can be as well be emulated by developing countries like Uganda. Interestingly, 770 million people below China’s poverty line have been raised from poverty. Indeed, in February this year, Chinese president, Xi Jinping announced that the country had eradicated extreme poverty one of its main objectives in the last twenty years and stressed that “complete victory” that would “go down in history” had been realized. “According to the current criteria, all 98.99 million poor rural population have been taken out of poverty, and 832 poverty-stricken counties as well as 128,000 villages have been removed from the poverty list,” noted president Xi.

All the above happened 10 years ahead of the projected time of 2030 by the UN. For anyone interested in learning, the first lesson would be the possibility of this seemingly impossible venture with China as the evidence to its feasibility. Most of the problems China had then are the ones many developing countries like Uganda face now. Its therefore more logical for us to implement solutions that have been tested and trusted to work elsewhere other than going about experimenting as this would waste resources and time without guaranteeing outcome.

Foremost, the government has put advancing its people’s rights above everything else. All the people enjoy their human rights, with equal opportunities and the rules affect all the people equally. The people are not favoured nor marginalised on grounds of ethnicity, gender, race, color etc. Also, Beijing fronted rewarding merit (meritocracy) other than kakistocracy. As a result of this, government’s programs are realised as set and the people are unified, patriotic and are willing to work together for the better of the whole country. This is a step several developing African countries can look at and incorporate it into their systems.

According to this month’s official document issued by China’s State Council Information Office entitled; “Moderate Prosperity in All Respects: Another Milestone Achieved in China’s Human Rights,” the government of China offered free compulsory education for its citizens. All primary and secondary schools can access the internet, financial aid has been offered to over 150 million students. There is also a system where those who drop out of school are identified and helped back into school. in developing countries like Uganda, very few and lucky people can afford to pay higher institutions tuition with easiness which has increased on number of those dropping out of higher institutions before completion. Such challenges can be addressed by government waiving tuition or and or textbook fees to reduce burden parents and students face.

China also put-up special teaching posts in villages to ensure that university graduates got to teach in the rural areas. Though such arrangements are in place her – hard to reach areas, strengthening them will see developing countries like Uganda ensuring  that the students in rural areas also acquire a good quality education. Remarkably, China has over 3,000 public libraries where scholars can access reading materials that may not be in their school libraries. Uganda has only of which very few are well stocked.

China has put up places where people can go and do exercises, encouraged the people to do them and has also educated the mases on good nutrition. They have also promoted preventive services like cardiovascular screening and cancer screening. China’s rural areas have access to basic medical insurance. This ensures that the people don’t sell their belongings or die as a result of failing to access medical care. China has also made rehabilitation services generally available for the disabled and mentally ill. During this pandemic, they have pulled numerous resources to build 1000 and 14000 bed health facilities in 10 and 12 days respectively. They have made efforts to vaccinate all the people and on top of offering free treatment for COVID-19 patients. China’s commitment to the health of their citizens has had their life expectancy increasing while most of the world especially in developing countries is decreasing. If Uganda could borrow the whole tree (apparently a leaf might not be enough), we would have reduced mortalities and the unending challenges like strikes of health workers would be history.

China built an agrotechnology system that has greatly improved their productivity. Uganda being an agriculture-based country could benefit umpteen times from such a system. In China, the right to be free from hunger is guaranteed by the nutrition improvement program for children in poor areas and people having access to food through poverty alleviation. China has also ensured safe housing for the poor and put-up programs such as renovation of rural homes. If replicated here, Uganda would as well greatly benefit.

To address the problem of un employment, China has put up 45,800 employment agencies. Though Uganda is trying with programs like skilling youth, extra efforts will help make a big difference.

China has also strengthened the legal protection of human rights and increased the public awareness of the constitution and the law. Consequently, many people understand laws governing them and as they enjoy their much-protected human rights, they also understand what is required of them and hence, many are patriotic and always work to defend interests of their country which is key for development to take place.  Most Ugandans don’t even know their rights or even the constitution. China has as well put-up internet-based government services, the public supreme court has publicized judicial protection of private enterprises. All these have in a way led to the achievement of the desired goals and arguably, all Chinese have peace, stability and happiness which is key for a holistic prosperous society. Perhaps, developing countries like Uganda should embrace such, we shall be on wheels swiftly moving towards a xiaokang too.

Dr. Joseph Nyero is a Ugandan medical doctor and a research fellow at Sino-Uganda Relations Research Centre.