Djibouti

Despite spending considerably more than most African nations per capita on health care, Djibouti still suffers very high rates of disease. The universal healthcare system is finding it difficult to cope with the demands of the local population, in addition to the thousands of Somalian refugees in the country.

The health system suffers from poor planning and management, shortages of qualified doctors and nurses, weak infrastructure and inadequate funding. There is also a poor availability of drugs, a situation compounded by a high tariff rate of 10%.