Suriname International Health Insurance / Healthcare System

 

  Suriname The Republic of Suriname in South America is a former Dutch colony facing the North Atlantic Ocean, and is bordered by Guyana, French Guiana and Brazil. The country has a hot, tropical climate with two wet and two dry seasons. Its inland rainforest has been named a UNESCO World Heritage Site. Suriname achieved independence from the Netherlands in 1975. The tiny country’s economy is dominated by bauxite mining, and the population of less than one half million enjoys GDP per capita of USD5,675, making it a middle-income country. Although Dutch remains the official language, Suriname is known as the most multilingual country in the world.

Suriname’s health care is about average for a middle-income country, though it lags behind its wealthier neighbours in the Americas region. Life expectancy for the Surinamese is 65 years for males and 71 for females, again close to the regional norm.

There are four main hospitals in Suriname, although there are an increasing number of rural clinics, some of which attempt to marry western medicine with principles of ancient indigenous health care. Total annual health care spending in Suriname is USD361 per capita, which represents 7.4 percent of GDP; the sum is only a small fraction of the Americas regional average of USD3,000. Government spending makes up close to half of total health expenditure, with private contributions making up the remainder. Private Suriname health insurance makes up a small, but growing proportion of private health spending, increasing from 1.3 percent in 1995 to 15.8 percent in 2009.

The United Nations, in cooperation with the Surinamese Ministry of Public Health, has outlined a series of public policy goals as part of the UN’s ‘Agenda 21’. The Surinamese government had pledged to provide universal health care to rural inhabitants from the late 1970s, but recent economic hardships have constrained the government’s ability to meet these goals. Drug shortages, infrastructure deficiencies and lack of qualified personnel have proved to be a challenge.

Suriname suffers from high levels of infectious disease, proportionally above regional and global norms. For example, HIV infection rates are three times the global average, with 8 of every 1,000 adults affected. As in many poor countries tuberculosis infection is rampant within the population and affects 270 per 100,000 inhabitants of Suriname, which is more than ten times the regional average.

Investment in public health has been beneficial to the country. Most Surinamese have access to improved drinking water, although only about 80 percent of rural inhabitants are able to use potable water sources. However this figure represents a ten percentage point improvement since 1995, and may be a contributor to an increase in overall health quality within the country. Close to 90 percent of Surinamese have access to improved sanitation facilities, although this figure drops to about 60 percent in rural areas.

With only 4.5 doctors and 16.2 nurses and midwives per 10,000 people, Surinamese medical facilities are seriously understaffed. This can be attributed partly to the “brain drain” which affects so much of the developing world, as educated professionals seek better opportunities in wealthier countries.

The US Centers for Disease Control and Prevention have drafted a series of guidelines for travellers planning to visit Suriname. Immunisations for vaccine preventable diseases should be updated; specific medical advice from a travel medicine specialist four to six weeks before departure is recommended.

As in many tropical regions, Malaria is prevalent in certain parts of Suriname. Taking prescription antimalarial drugs is recommended, along with wearing long-sleeved clothing, using insect repellent and sleeping with a mosquito net. Note that not all anti-malarial drugs are suitable for use in Suriname. It is strongly advised to purchase pills before departure to Suriname due to availability concerns within the country.

In addition to Malaria, a number of other tropical insect-borne diseases and parasitic infections are fairly common to Suriname, including dengue fever and schistosomiasis. As with travel in any destination, some of the leading health problems stem from gastrointestinal issues. Only drink bottled water, avoid raw or undercooked foods and take over the counter anti-diarrhoeal pills for acute cases. Auto accidents are also a leading cause of travel injury. Practice defensive driving and always wear a seat belt. Note that Surinamese drive on the left side of the road. Travellers not used to the tropical climate may also be prone to various skin irritations and rashes common to regions close to the equator. These may be treated with over the counter topical creams and lotions.

Dental care is Suriname is only available in the capital city of Paramaribo. Hence prophylactic care including regular brushing and flossing are recommended in order to minimise the risk of cavities, gum disease and other oral health issues while in the country. Travellers with vision problems are urged to wear glasses in lieu of contacts, which increase the risk of eye infection; ophthalmologic care in Suriname is very limited.

Given Suriname’s tropical environment and limited health care resources, extra precautions should be made before making a trip. Although local private health insurance is becoming increasingly sophisticated, it is still in its nascent stages and infrastructure and billing arrangements for foreign visitors remain uncertain. It is strongly suggested that special arrangements be made before visiting. Emergency evacuation may be required in cases requiring serious medical attention. This may involve travel to the mainland United States, which has the world’s highest health care costs. Hence, international health insurance and other emergency contingencies should be planned in advance.

 

Suriname International Health Insurance

 

If you are planning to visit South America and Suriname, Globalsurance can assist with your international health insurance needs. Our experienced teams provide advice online or on the phone 24 hours a day, with policies to suit individual travellers, families and tour groups. Globalsurance’s range of policies cover all types of medical services; please contact a Globalsurance adviser today for further global health insurance details.

 

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