Republic of the Congo International Health Insurance / Healthcare System

 

  Republic of the Congo The Republic of the Congo, also widely known as Congo-Brazzaville, is a country located in Western Africa. The country is bordered by Gabon, Cameroon, the Central African Republic, the Democratic Republic of the Congo, and Angola. The Republic of the Congo has a population of 4.24 million people and a land area of 342,000 square kilometers. The country’s population is largely urbanized. Tropical jungle, which is home to more than 400 mammal species, covers almost half of the country's land and is virtually uninhabited by people. 70 percent of the population resides in the capital city Brazzaville, which is located in the south of the country just 4 kilometers from Kinshasa, the capital city of the Democratic Republic of the Congo.

Since independence from France in 1960, the Republic of the Congo has experienced several coups and a two year civil war in 1997, resulting from ethnic and political tensions in the country. During the civil war, the capital city Brazzaville was severely damaged. 10,000 people were killed and 810,000 people were displaced. In March 2003, the Republic of the Congo signed a peace agreement which lead to the cessation of civil war, however the country continues to experience challenges relating to poverty and refugees. Almost half of the country's 17,000 kilometers of road infrastructure are no longer usable, making it difficult for members of the population in rural areas to access cities.

Today the Republic of the Congo is in extreme poverty. In addition to conflict, during the 1980s the country accumulated a lot of debt due to a fall in petrol prices and mismanagement of the economy. The country is unable to provide adequate access to basic services including education, healthcare, water and sanitation. However, with a relatively small population, arable land and natural resources including oil and minerals, the Republic of the Congo has the potential to develop a strong economy. Looking forward, the Health System Development Project and the Poverty Reduction Strategy has been implemented to promote international funding to stabilize the economy and expand health care services. The World Bank, the International Monetary Fund, World Health Organization, Médecins Sans Frontières and the United Nations, among other organizations, have largely supported the Republic of the Congo with funding to improve access to adequate health care, water and sanitation in the country.

Health care facilities and resources are severely lacking in the Republic of the Congo. Over half of the hospital buildings were destroyed during the civil war. Hospitals are challenged by shortages in health care personnel, facilities, medical supplies, and electricity supply in rural areas. Under the Health System Development Project, the five year plan will expand health care services by establishing a human resources system and supplying health care centers with essential medical equipment and pharmaceutical supplies. Health care services and hospitals in the Republic of the Congo are predominantly located in the urban areas of Brazzaville and Pointe-Noire, the country's second largest city. Hospitals in Brazzaville include the Brazzaville Hospital, Cabinet Medical Cogemo, Netcare Congo Clinic and the Securex Hospital. In Pointe-Noire, the Loandjili hospital is the largest facility in the area.

Lack of access to quality health care in the Republic of the Congo has resulted in a high prevalence of communicable diseases including tuberculosis, HIV/AIDS and malaria. Having one of the highest prevalence rates in the world, HIV/AIDS puts a large burden on the Congo-Brazzaville health care system. HIV/AIDS in the Republic of the Congo is higher among females and is the main cause of death among those aged between 15 and 49; transmitted predominantly via sexual intercourse, sexual violence, from mother to child, and contaminated blood supplies. Malaria is widespread in the country, contributing to one third of the country's morbidity rates.

Outbreaks of infectious diseases are common in the Republic of the Congo. An outbreak of poliomyelitis killed 58 people in 2010 and caused 120 cases of acute flaccid paralysis. It is highly important that expats seek immediate medical attention if symptoms of high fever, abdominal pain, diarrhea or vomiting are persistent. Expats and travellers to the Republic of the Congo should receive vaccinations against hepatitis A, typhoid, yellow fever, meningococcus, poliomyelitis, hepatitis B, rabies, measles mumps and rubella, and tetanus-diphtheria.

The Republic of the Congo has a very high maternal and infant mortality rate. Malnutrition affects approximately 30 percent of children under the age of five, delaying growth and making them susceptible to communicable diseases. Lack of drinking water and poor hygiene lead to intestinal infections. The main causes of death for children under the age of five include diseases such as malaria, rickets, respiratory infections, and dysentery. In 2007, the Government of Congo made anti-malarial treatment free for pregnant women and children under the age of five. In 2008, mosquito nets were distributed to families living in areas largely affected by malaria. In 2011, the Government of Congo made caesarian sections and other obstetric procedures free within public hospitals, providing hospitals with the equipment and pharmaceutical supplies required to carry out the interventions.

Seasonal flooding is a natural hazard in the Republic of the Congo, particularly affecting the Brazzaville region, which is located directly beside the Congo River Basin. Due to an ineffective drainage system, floods in Congo-Brazzaville typically occur during the rainy season between the months of September to January. Torrential rain and flooding in and around Brazzaville has lead to consequential landslides, displacing individuals and causing injury and death. In 2006, floods in Brazzaville displaced more than 5000 residents and killed six people.

Flooding in the Congo-Brazzaville also increases health risks. With inadequate storm water drainage in the country, contaminated water enters the water supply leading to outbreaks of water borne diseases in the country. The Government of Congo aims to improve the situation by 2015, through the implementation of a sustainable urban drainage system, funded by the African Water Facility. The project will improve water supply, sanitation and storm water drainage in urban areas of Brazzaville and Pointe Noire. Safe drinking and strict hygiene measures should be practiced when visiting Congo-Brazzaville.

In the event of a serious illness or accident, emergency evacuation to a hospital in South Africa will be required to receive the adequate level of medical care. Air transportation, as well as medical services are highly expensive. As such, expats are highly recommended to obtain an international health insurance policy that includes emergency evacuation and repatriation as well as worldwide medical coverage.

Emergency protocols should be adopted by residents during the event of an accident, serious illness or criminal offense. The emergency contact number in the Republic of the Congo is 242-06-665-4804. It is important to note however that emergency services in Brazzaville and Pointe Noire are very limited and are virtually non existent outside of Brazzaville and Pointe Noire.

 

Republic of the Congo International Health Insurance

 

For more information about the Republic of the Congo international medical insurance plans, or to receive a free Republic of the Congo International Health Insurance Quote, please contact one of our dedicated advisers today.

 

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