Health in Iraq refers to the country's public healthcare system and the overall health of the country's population.
Iraq
Iraq,; ku, عێراق, translit=Êraq officially the Republic of Iraq, '; ku, کۆماری عێراق, translit=Komarî Êraq is a country in Western Asia. It is bordered by Turkey to Iraq–Turkey border, the north, Iran to Iran–Iraq ...
belongs to
WHO health region
Eastern Mediterranean
Eastern Mediterranean is a loose definition of the eastern approximate half, or third, of the Mediterranean Sea, often defined as the countries around the Levantine Sea.
It typically embraces all of that sea's coastal zones, referring to communi ...
and classified as upper middle according to
World Bank
The World Bank is an international financial institution that provides loans and grants to the governments of low- and middle-income countries for the purpose of pursuing capital projects. The World Bank is the collective name for the Interna ...
income classification 2013. The state of
health
Health, according to the World Health Organization, is "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity".World Health Organization. (2006)''Constitution of the World Health Organiza ...
in
Iraq
Iraq,; ku, عێراق, translit=Êraq officially the Republic of Iraq, '; ku, کۆماری عێراق, translit=Komarî Êraq is a country in Western Asia. It is bordered by Turkey to Iraq–Turkey border, the north, Iran to Iran–Iraq ...
has fluctuated during its turbulent recent history and specially during the last 4 decade. The country had one of the highest medical standards in the region during the period of 1980s and up until 1991, the annual total health budget was about $450 million in average. The 1991
Gulf War
The Gulf War was a 1990–1991 armed campaign waged by a 35-country military coalition in response to the Iraqi invasion of Kuwait. Spearheaded by the United States, the coalition's efforts against Iraq were carried out in two key phases: ...
incurred Iraq's major infrastructures a huge damage. This includes health care system, sanitation, transport, water and electricity supplies.
UN economic sanctions aggravated the process of deterioration. The annual total health budget for the country, a decade after the sanctions had fallen to $22 million which is barely 5% of what it was in 1980s. During its last decade, the
regime
In politics, a regime (also "régime") is the form of government or the set of rules, cultural or social norms, etc. that regulate the operation of a government or institution and its interactions with society. According to Yale professor Juan Jo ...
of
Saddam Hussein
Saddam Hussein ( ; ar, صدام حسين, Ṣaddām Ḥusayn; 28 April 1937 – 30 December 2006) was an Iraqi politician who served as the fifth president of Iraq from 16 July 1979 until 9 April 2003. A leading member of the revolution ...
cut public health funding by 90 percent, contributing to a substantial deterioration in health care.
[Iraq country profile]
. Library of Congress
The Library of Congress (LOC) is the research library that officially serves the United States Congress and is the ''de facto'' national library of the United States. It is the oldest federal cultural institution in the country. The library is ...
Federal Research Division
The Federal Research Division (FRD) is the research and analysis unit of the United States Library of Congress.
The Federal Research Division provides directed research and analysis on domestic and international subjects to agencies of the Unite ...
(August 2006). ''This article incorporates text from this source, which is in the public domain
The public domain (PD) consists of all the creative work
A creative work is a manifestation of creative effort including fine artwork (sculpture, paintings, drawing, sketching, performance art), dance, writing (literature), filmmaking, ...
.'' During that period,
maternal mortality increased nearly threefold, and the salaries of medical personnel decreased drastically.
[ Medical facilities, which in 1980 were among the best in the Middle East, deteriorated.][ Conditions were especially serious in the south, where ]malnutrition
Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is "a deficiency, excess, or imbalance of energy, protein and other nutrients" which adversely affects the body's tissues a ...
and water-borne disease
Waterborne diseases are conditions (meaning adverse effects on human health, such as death, disability, illness or disorders) caused by pathogenic micro-organisms that are transmitted in water. These diseases can be spread while bathing, washing ...
s became common in the 1990s.[ Health indicators deteriorated during the 1990s. In the late 1990s, Iraq's ]infant mortality
Infant mortality is the death of young children under the age of 1. This death toll is measured by the infant mortality rate (IMR), which is the probability of deaths of children under one year of age per 1000 live births. The under-five morta ...
rates more than doubled.[ Because treatment and diagnosis of ]cancer
Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...
and diabetes
Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
decreased in the 1990s, complications and deaths resulting from those diseases increased drastically in the late 1990s and early 2000s.[
The ]Iraq War
{{Infobox military conflict
, conflict = Iraq War {{Nobold, {{lang, ar, حرب العراق (Arabic) {{Nobold, {{lang, ku, شەڕی عێراق (Kurdish languages, Kurdish)
, partof = the Iraq conflict (2003–present), I ...
in 2003 destroyed an estimated 12% of hospital
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
s and Iraq's two main public health laboratories.[ The collapse of sanitation infrastructure in 2003 led to an increased incidence of cholera, ]dysentery
Dysentery (UK pronunciation: , US: ), historically known as the bloody flux, is a type of gastroenteritis that results in bloody diarrhea. Other symptoms may include fever, abdominal pain, and a feeling of incomplete defecation. Complications ...
, and typhoid fever.[ ]Malnutrition
Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is "a deficiency, excess, or imbalance of energy, protein and other nutrients" which adversely affects the body's tissues a ...
and childhood diseases, which had increased significantly in the late 1990s, continued to spread.[ In 2005 the incidence of ]typhoid
Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...
, cholera
Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
, malaria
Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
, and tuberculosis
Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, in ...
was higher in Iraq than in comparable countries.[ In 2006 some 73 percent of cases of human immunodeficiency virus (HIV)/]acquired immune deficiency syndrome
Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ma ...
(AIDS
Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual m ...
) in Iraq
Iraq,; ku, عێراق, translit=Êraq officially the Republic of Iraq, '; ku, کۆماری عێراق, translit=Komarî Êraq is a country in Western Asia. It is bordered by Turkey to Iraq–Turkey border, the north, Iran to Iran–Iraq ...
originated with blood transfusion
Blood transfusion is the process of transferring blood products into a person's circulation intravenously. Transfusions are used for various medical conditions to replace lost components of the blood. Early transfusions used whole blood, but mo ...
s and 16 percent from sexual transmission.[ The AIDS Research Centre in Baghdad, where most cases have been diagnosed, provides free treatment, and ]testing
An examination (exam or evaluation) or test is an educational assessment intended to measure a test-taker's knowledge, skill, aptitude, physical fitness, or classification in many other topics (e.g., beliefs). A test may be administered verba ...
is mandatory for foreigners entering Iraq.[ Between October 2005 and January 2006, some 26 new cases were identified, bringing the official total to 261 since 1986.][ The 2003 invasion and its aftermath of considerable insecurity and instability combined with battered infrastructure make that the progress in health indicator had not been that good as they should be compared with many countries in the region. In 2010, the ]life expectancy
Life expectancy is a statistical measure of the average time an organism is expected to live, based on the year of its birth, current age, and other demographic factors like sex. The most commonly used measure is life expectancy at birth ...
58 years, down from 65 years 30 years prior. By 2011, tuberculosis had reached levels 6 times higher than in Syria and 30 times higher than in Jordan. Between 2000 and 2011, the child immunization
Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an infectious agent (known as the immunogen).
When this system is exposed to molecules that are foreign to the body, called ''non-sel ...
rates dropped by 20%. Iraq have not achieved its Millennium development goals number 4 and 5 by 2015.
The Human Rights Measurement Initiative finds that Iraq is fulfilling 75.0% of what it should be fulfilling for the right to health based on its level of income. When looking at the right to health with respect to children, Iraq achieves 93.1% of what is expected based on its current income. In regards to the right to health amongst the adult population, the country achieves only 86.4% of what is expected based on the nation's level of income. Iraq falls into the "very bad" category when evaluating the right to reproductive health because the nation is fulfilling only 45.4% of what the nation is expected to achieve based on the resources (income) it has available.
History
Before
Gulf War
The Gulf War was a 1990–1991 armed campaign waged by a 35-country military coalition in response to the Iraqi invasion of Kuwait. Spearheaded by the United States, the coalition's efforts against Iraq were carried out in two key phases: ...
Iraq used the income from oil resources, which accounted for the major part of its GDP to build a modern and solid health care system. Health services were free and available for the majority of the population. The country had a good sanitary infrastructure and safe water supply to almost all people in urban areas and the majority in rural areas.
After Gulf War
After the Gulf War
The Gulf War was a 1990–1991 armed campaign waged by a 35-country military coalition in response to the Iraqi invasion of Kuwait. Spearheaded by the United States, the coalition's efforts against Iraq were carried out in two key phases: ...
, the country had been almost left in ruins and most of its infrastructure broke down. The majority of the population had no safe water supply and electricity. The sanitary infrastructure was damaged. Distribution of food and medical supplies was prevented because transport capabilities were reduced to critical levels. This resulted in both malnutrition
Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is "a deficiency, excess, or imbalance of energy, protein and other nutrients" which adversely affects the body's tissues a ...
an outbreak of many infectious diseases
An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...
like cholera
Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
, malaria
Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
, typhoid
Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...
and gastroenteritis
Gastroenteritis, also known as infectious diarrhea and gastro, is an inflammation of the gastrointestinal tract including the stomach and intestine. Symptoms may include diarrhea, vomiting, and abdominal pain. Fever, lack of energy, and dehydra ...
. Iraqis who died because of health effects of the Gulf War have been estimated at 100 000. After the war in 1991 and in eight months from January to August, infant and child mortality
Child mortality is the mortality of children under the age of five. The child mortality rate, also under-five mortality rate, refers to the probability of dying between birth and exactly five years of age expressed per 1,000 live births.
It en ...
had increased by threefold. The UN economic sanctions against Iraq declared in August 1990 after invasion of Kuwait made it difficult for Iraq to rebuild and rehabilitate the country's infrastructure. The economic sanctions had also resulted in a shortage in medical supplies and equipment such that health services to population were badly affected including the immunization services which put millions of children at risk of infection. In the 1990s many Iraqis, therefore, died from diseases which were treatable or preventable before the sanctions and the war. Iraq's Government agreed to UN terms in 1996 and this resulted in oil for food programme
The Oil-for-Food Programme (OIP), established by the United Nations in 1995 (under UN Security Council Resolution 986) was established to allow Iraq to sell oil on the world market in exchange for food, medicine, and other humanitarian needs fo ...
which allowed the country to import humanitarian supplies and equipment. The programme resulted in a modest recover in water and electricity supply, sanitation and health services.
Health statistics and health indicators
Basic statistics
Life expectancy at birth
Life is a quality that distinguishes matter that has biological processes, such as signaling and self-sustaining processes, from that which does not, and is defined by the capacity for growth, reaction to stimuli, metabolism, energy transf ...
In 2015 the life expectancy at birth
Life is a quality that distinguishes matter that has biological processes, such as signaling and self-sustaining processes, from that which does not, and is defined by the capacity for growth, reaction to stimuli, metabolism, energy transf ...
, total was 69.59 years. Iraq was ranked as country number 125 in the world which is lower than all the neighbor countries. For females it was 71.85 years ranked as country number 127 higher than that for males which was 67,44 years but ranked as country number 115. Life expectancy at birth for both sexes decreased by one year over the period of 2000–2012; the WHO region average increased by 3 year(s)in the same period. In 2012, healthy life expectancy at birth in both sexes was 9 years lower than overall life expectancy at birth. This lost healthy life expectancy represents 9 equivalent years of full health lost throw years lived with morbidity and disability
Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be Cognitive disability, cognitive, Developmental disability, dev ...
.
Millennium Development Goals (Md Gs)
In the 1960s, Iraq
Iraq,; ku, عێراق, translit=Êraq officially the Republic of Iraq, '; ku, کۆماری عێراق, translit=Komarî Êraq is a country in Western Asia. It is bordered by Turkey to Iraq–Turkey border, the north, Iran to Iran–Iraq ...
was "one of the best countries in which to be a child" according to the UNICEF
UNICEF (), originally called the United Nations International Children's Emergency Fund in full, now officially United Nations Children's Fund, is an agency of the United Nations responsible for providing Humanitarianism, humanitarian and Devel ...
statistics. At the same time in 1981, Iraq had the 2nd lowest Infant Mortality Rate worldwide.
In the late 1990s, Iraq's under-five mortality rates have dropped by approximately 50% - from 44.8 deaths per 1000 live births in 2000 to 34.4 in 2012.
Thus mortality rates are gradually decreasing since the late 1990s. On the other hand, if Iraq
Iraq,; ku, عێراق, translit=Êraq officially the Republic of Iraq, '; ku, کۆماری عێراق, translit=Komarî Êraq is a country in Western Asia. It is bordered by Turkey to Iraq–Turkey border, the north, Iran to Iran–Iraq ...
had progressed at the same average rate as the other countries, by 2011. Iraq would have achieved the reduction in child mortality rate in the period between 1990 and 2015, which is the target of Millennium Development Goal
The Millennium Development Goals (MDGs) were eight international development goals for the year 2015 that had been established following the Millennium Summit of the United Nations in 2000, following the adoption of the United Nations Millenniu ...
number four. Iraq's health services are struggling to regain lost momentum after decades of war, sanctions, and occupation. Although there is renewed progress across all sectors of child development, substantial work is still needed to achieve national targets and global goals.
according to WHO, Iraq: Quality of Care 2018 Analysis, infection measure control increased 14-15%
See also
* Healthcare in Iraq
Iraq had developed a centralized free and universal healthcare system in the 1970s using a hospital based, capital-intensive model of curative care. The country depended on large-scale imports of medicines, medical equipment and even nurses, paid ...
* HIV/AIDS in Iraq
* List of Iraqi physicians
References
{{Asia topic, Health in