Health in Bosnia and Herzegovina
Health in
The Human Rights Measurement Initiative[4] finds that Bosnia and Herzegovina is fulfilling 70.1% of what it should be fulfilling for the right to health based on its level of income.[5] When looking at the right to health with respect to children, Bosnia and Herzegovina achieves 99.6% of what is expected based on its current income.[6] In regards to the right to health amongst the adult population, the country achieves only 95.6% of what is expected based on the nation's level of income. [7] Bosnia and Herzegovina falls into the "very bad" category when evaluating the right to reproductive health because the nation is fulfilling only 15.0% of what the nation is expected to achieve based on the resources (income) it has available.[8]
Health issues
The war has resulted in lower socioeconomic statuses of Bosnia's citizens, raised new health concerns, caused epidemiological changes, and changed the focus of the community.
In 2015 it was estimated that 12.01% of the population has diabetes, costing about $523 per person per year.[12] It had the fourth highest rate of male smokers in Europe - 47%.[13]
Psychological traumas and disorders
The war resulted in increased numbers of psychological traumas and disorders. These can cause the individual to face problems in the workforce as well as their personal and family life, and can even lead to suicide.
Problems
Some of the issues that Bosnia is currently facing in terms of bettering their health care system in order to address the rising health concerns includes the fact that there is not enough technical infrastructure and management capacity to cause change in the short term. There is also a weak regulatory process as well as a lack of communication between local and central levels of the health care system. The country is also still receiving aid from international sources that also lack coordination between international and local services and care; the two sources don't function as one but as two separate providers of care.[2]
According to some experts programs initiated by NGOs, United Nations, and NATO, to name a few, focused more so on long-term effects instead of focusing on long-term as well as short-term reforms. In many places programs focused on academic settings, for the betterment of medical knowledge and schools, before the people had access to basic public health needs, such as clean water.[15]
Reforms and programs
The Federation Health Program of 1994 was implemented as part of the reform process. This included a set of proposals by the Ministry of Health and created two new laws, the Law on Health Care and the Law on Health Insurance.[3] The Law on Health Care focuses on the delivery of services and the family medicine model. The Law on Health Insurance insures each person receives a basic health care package regardless of income and resources available.[3] A program launched by the National Research Council, called "Trauma and Reconciliation in Bosnia-Herzegovina", focused on conducting research while including cross-cultural experience for American and Bosnian experts.[16] The program organized meetings with professionals from a variety of organizations, including NGOs, children's homes, and women's organizations to gain a local perspective on what should be done to help address the rising health issues due to war caused trauma. They concluded that around 18%-38% of residents suffered from PTSD during or after the war.[15] Other programs, such as those organized by Doctor's without Borders, Harvard Trauma Program for Refugees, and the International Center for Psychosocial Trauma by the University of Missouri-Columbia were all launched with an aim to help provide further education for family doctors when it came to trauma and psychological issues.[17] The Swiss Agency for Development and Cooperation (SDC) also led a program, "Mental Health", to help address the trauma issues that this vulnerable population might face.[18] This program addresses the problem by providing financial support for other projects and reforms taking place, providing additional training for experts, and helping to address the stigma in the public associated with mental health issues.[18] The "Mental Health" program includes over 55 municipalities throughout Bosnia and focuses on helping fight the negative stigma associated with mental health and urges the people to seek for help.[19]
References
- ^ a b "Bosnia-Herzegovina." United States Holocaust Memorial Museum. United States Holocaust Memorial Council, n.d. Web. 09 May 2014.
- ^ a b c d Cain, J. et al. In Cain, J. and Jakubowski, E., eds. Health care systems in transition: Bosnia and Herzegovina. Copenhagen, European Observatory on Health Care Systems, 4(7) (2002).
- ^ a b c Cain, J. et al. In Cain, J. and Jakubowski, E., eds. Health care systems in transition: Bosnia and Herzegovina. Copenhagen, European Observatory on Health Care Systems, 4(7) (2002).
- ^ "Human Rights Measurement Initiative – The first global initiative to track the human rights performance of countries". humanrightsmeasurement.org. Retrieved 2022-03-13.
- ^ "Bosnia and Herzegovina - HRMI Rights Tracker". rightstracker.org. Retrieved 2022-03-13.
- ^ "Bosnia and Herzegovina - HRMI Rights Tracker". rightstracker.org. Retrieved 2022-03-13.
- ^ "Bosnia and Herzegovina - HRMI Rights Tracker". rightstracker.org. Retrieved 2022-03-13.
- ^ "Bosnia and Herzegovina - HRMI Rights Tracker". rightstracker.org. Retrieved 2022-03-13.
- ^ "Strategic Plan for Health Care Development in The Federation of Bosnia and Herzegovina Between 2008 and 2018." BOSNIA AND HERZEGOVINA FEDERATION OF BOSNIA AND HERZEGOVINA FEDERAL MINISTRY OF HEALTH (2008): n. pag. National Planning Cycles. Web. 9 May 2014. <http://www.nationalplanningcycles.org/sites/default/files/country_docs/Bosnia%20and%20Herzegovina/bosnia_herzegovina_strategic_plan_for_health_care_development_2008-2018.pdf>.
- ^ Cain, J. et al. In Cain, J. and Jakubowski, E., eds. Health care systems in transition: Bosnia and Herzegovina. Copenhagen, European Observatory on Health Care Systems, 4(7) (2002).
- ^ a b Kunitz, Stephen. The Making and Breaking of Yugoslavia and Its Impact on Health. Am J Public Health. 2004 November; 94(11): 1894–1904.
- ^ "Top 10: Which country has the highest rates of diabetes in Europe? The UK's position might surprise you…". Diabetes UK. 27 August 2015. Retrieved 20 December 2015.
- ISBN 9781447313540.
- ^ "Health Care in Bosnia and Herzegovina in the Context of the Return of Refugees and Displaced Persons, Sarajevo." UNHCR News. UNHCR Office of the Chief of Mission in Bosnia and Herzegovina, 2001. Web. 09 May 2014.
- ^ a b Simunovic, Vladimir J. "Health Care in Bosnia and Herzegovina Before, During, and after 1992–1995 War: A Personal Testimony." Conflict and Health. BioMed, 2007. Web. 09 May 2014.
- ^ Nelson, Briana S.(2003) 'Post-War Trauma and Reconciliation in Bosnia-Herzegovina: Observations, Experiences, and Implications for Marriage and Family Therapy', The American Journal of Family Therapy, 31: 4, 305 — 316
- ^ Avdibegović, E., M. Hasanović, Z. Selimbasic, I. Pajevic, and O. Sinanovic. "Result FiMental Health Care of Psychotraumatized Persons in Post-war Bosnia and Herzegovina--experiences from Tuzla Canton." National Center for Biotechnology Information. U.S. National Library of Medicine, 2008. Web. 11 May 2014.
- ^ a b "Support for the Mental Health System in Bosnia and Herzegovina: SDC and Four Cantons Sign an Agreement." SDC - Close-up. Federal Department of Foreign Affairs, 2011. Web. 11 May 2014.
- ^ SDC. "Health Care in Local Community in Compliance with European Standards." SDC Bosnia and Herzegovina - Mental Health. Federal Department of Foreign Affairs, 2009. Web. 11 May 2014.
- "Strategic Plan for Health Care Development in The Federation of Bosnia and Herzegovina Between 2008 and 2018." BOSNIA AND HERZEGOVINA FEDERATION OF BOSNIA AND HERZEGOVINA FEDERAL MINISTRY OF HEALTH (2008): n. pag. National Planning Cycles. Web. 9 May 2014. <http://www.nationalplanningcycles.org/sites/default/files/country_docs/Bosnia%20and%20Herzegovina/bosnia_herzegovina_strategic_plan_for_health_care_development_2008-2018.pdf>.
- Kunitz, Stephen. The Making and Breaking of Yugoslavia and Its Impact on Health. Am J Public Health. 2004 November; 94(11): 1894–1904.
- "Health Care in Bosnia and Herzegovina in the Context of the Return of Refugees and Displaced Persons, Sarajevo." UNHCR News. UNHCR Office of the Chief of Mission in Bosnia and Herzegovina, 2001. Web. 9 May 2014.
- Simunovic, Vladimir J. "Health Care in Bosnia and Herzegovina Before, During, and after 1992–1995 War: A Personal Testimony." Conflict and Health. BioMed, 2007. Web. 9 May 2014.
- Nelson, Briana S.(2003) 'Post-War Trauma and Reconciliation in Bosnia-Herzegovina: Observations,
Experiences, and Implications for Marriage and Family Therapy', The American Journal of Family Therapy, 31: 4, 305 — 316
- Avdibegović, E., M. Hasanović, Z. Selimbasic, I. Pajevic, and O. Sinanovic. "Result FiMental Health Care of Psychotraumatized Persons in Post-war Bosnia and Herzegovina--experiences from Tuzla Canton." National Center for Biotechnology Information. U.S. National Library of Medicine, 2008. Web. 11 May 2014.
- "Support for the Mental Health System in Bosnia and Herzegovina: SDC and Four Cantons Sign an Agreement." SDC - Close-up. Federal Department of Foreign Affairs, 2011. Web. 11 May 2014.
- SDC. "Health Care in Local Community in Compliance with European Standards." SDC Bosnia and Herzegovina - Mental Health. Federal Department of Foreign Affairs, 2009. Web. 11 May 2014.