Psychiatric hospital Skopje, Macedonia
Healthcare in Macedonia utilizes a mixture of a public and private healthcare system. All residents are eligible to receive free state-funded healthcare and have the option of receiving private healthcare for treatments that the public system does not cover. Public healthcare in Macedonia often comes with long wait times and although public hospitals have basic medical supplies, they do not have specialized treatments. For these specialized treatments, residents typically seek private treatment where they must pay out of pocket or buy private insurance on top of their free healthcare.

Improvements in Overall Health

North Macedonia did not become a part of NATO until 2019, and still has not received admission into the E.U. As a result, its healthcare system has developed slower than member countries. Despite this, North Macedonia has shown growth in overall health. The introduction of private healthcare allowed residents to seek a wider range of treatments and cut down wait times. Life expectancy has grown from 71.7 years in 1991 to 75.1 years in 2010. However, this is still lower than the E.U.’s average life expectancy which is 80.2.  Although life expectancy has grown, North Macedonia’s infant mortality rate is still above average.

North Macedonia reached a European record of 14.3 deaths per 1,000 live births in 2015. To compare, the average mortality rate in Europe for 2015 was 5.2 deaths per 1,000 live births. The high infant mortality rate is likely the result of outdated equipment at public health facilities and a shortage of qualified health workers. Only 6.5% of North Macedonia’s GDP goes towards healthcare, and therefore healthcare in Macedonia is often reliant on outside donations. These conditions have caused health workers to leave the Macedonian healthcare system in search of better working conditions. The health ministry has worked to purchase new equipment as well as increase the amount of qualified staff in public hospitals by hiring more workers. Today, the infant mortality rate in North Macedonia is 10.102 deaths per 1,000 births. This is an improvement, and hopefully, with continued programs, the numbers will continue to decrease. Organizations such as Project HOPE and WHO have already made a direct impact on Macedonia’s healthcare system.

Organizations Combating Infant Mortality

Project HOPE has donated over $80 million worth of medicines, medical supplies and medical equipment to hospitals throughout North Macedonia since 2007. Starting in 2017, most of these donations went to hospitals specializing in infant care. Project HOPE also provides training for healthcare workers so they can adapt to the updated equipment. The current drop in the infant mortality rate is due to these donations that allow hospitals to buy updated equipment and retain healthcare workers through training. There is only one hospital in North Macedonia that accepts low birth-rate and premature babies, University Clinical Center at Mother Theresa. Therefore, Project HOPE’s donation has greatly lessened the burden on this hospital to care for infants. Since Project HOPE implemented this program, the number of deliveries at Mother Theresa has increased by 40%.

WHO has also assisted North Macedonia in developing a new 2020 healthcare plan for infants and mothers. This plan would link healthcare facilities in the country and classify them by level of service to ensure everyone is receiving the appropriate care. It should also improve transportation between hospitals to increase the continuity of care between locations. This shared communication and learning between healthcare facilities is imperative since there are only nine hospitals in Macedonia for 2.08 million people and seven of those hospitals are in the country’s capital, Skopje. Increasing transportation and communication will ensure that those living outside of the capital are receiving quality healthcare. Slowly but surely with these new policies in place, North Macedonia’s infant mortality rate will continue to drop.

– Rae Brozovich
Photo: Flickr

The post Improving Healthcare in Macedonia appeared first on The Borgen Project.

Original Source: borgenproject.org

Macedonia's Housing Crisis
Macedonia’s housing crisis requires swift attention. In 2018, about 21.9% of the country’s population was living below the poverty line. With a population of 2,082,957 in 2018, more than 456,000 people living in Macedonia were experiencing poverty that year. Furthermore, Macedonia saw an unemployment rate of 17.76% in 2019, a rate which is more than double the national average of 7.04%. The collapse of state-run housing development organizations in Macedonia since its independence has led to about 15% of Macedonians living in “illegally constructed buildings.” This means that roughly 320,000 people living in Macedonia lack access to adequate housing.

Invisible Homeless

The unauthorized housing that many people in Macedonia must live in bars thousands from access to important social systems and tools. Since Macedonians require an official home address to obtain a legal ID, the state effectively renders many of them nonexistent. This prevents these people from utilizing such essential services as insurance, social safety nets and immunization services.

Macedonia’s housing crisis is also a health crisis. Without adequate housing, hundreds of thousands of Macedonians are at risk of injury and disease due to hazardous living conditions. In 2018, fewer than a third of Macedonians had thermal insulation systems in their places of residence. Inadequate heating and insulation in buildings have forced thousands of people living in Macedonia to use homemade fires to keep warm since they cannot afford the expensive heating bills otherwise necessary to heat their homes. In the capital city of Skopje, roughly “two-thirds of households use firewood as their primary source of heating,” according to the Financial Times. Without proper air circulation, this can lead to severe chronic health conditions such as heart and lung disease due to inhalation of the hazardous particles which such fires produce.

Habitat for Humanity and Roma SOS

While Macedonia’s housing crisis is a daunting problem, some are doing significant work to improve housing in impoverished Macedonian communities. Despite being an attractive country for foreign investment due to its low tax rates and free economic zones, Macedonia still has one of the lowest foreign investment rates among European countries. This can make it harder for the government to provide solutions.

A Macedonian-based organization called Roma SOS is working to improve the living conditions of those experiencing the most need in Macedonia. The organization is currently working with Habitat for Humanity to provide impoverished Macedonians with zero-interest loans for legalizing and renovating their homes. While Habitat for Humanity provides the funding for these loans, Roma SOS helps residents in navigating the legal process of receiving approval for their loans.

Since 2004, Habitat for Humanity has worked to improve affordable housing for the people of Macedonia, and in 2019 it served 4,245 individuals “through market development.” Habitat for Humanity has further worked to provide individuals in Macedonia with housing that is not only affordable but also energy efficient. Since beginning this project in 2010, it has worked to restructure more than 60 buildings to improve energy efficiency, which has saved Macedonia more than 7,910 MWh of energy usage annually. The loans that Habitat for Humanity provides are essential for giving impoverished people in Macedonia access to better housing. With these loans, Habitat for Humanity has made heating safer and more affordable for more than 1,000 families living in Macedonia.

On the Path to EU Membership

Macedonia’s government also appears to be taking steps towards increased funding for improved housing. Macedonia has recently signed a deal with Greece and is currently on its way to becoming a member of the E.U. By joining the E.U., Macedonia would see an increase in foreign investment and would be able to apply for crisis aid packages to help improve housing in its impoverished communities.

The country’s housing situation may look bleak, but there is significant work occurring to address Macedonia’s housing crisis by improving the country’s economic situation. Several organizations, both outside of Macedonia and within it, are providing poor Macedonian populations access to safe, legal housing. With Macedonia moving towards E.U. membership and its accompanying economic support, there is hope for thousands of people in Macedonia whose living conditions formerly seemed hopeless.

– Marshall Kirk
Photo: Pixabay

The post Tackling Macedonia’s Housing Crisis appeared first on The Borgen Project.

Original Source: borgenproject.org

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