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Mali, one of the world's poorest nations, is greatly affected by poverty, malnutrition, epidemics, and inadequate hygiene and sanitation. Mali's health and development indicators rank among the worst in the world, with little improvement over the last 20 years. Progress is impeded by Mali's poverty and by a lack of physicians. The 2012 conflict in northern Mali exacerbated difficulties in delivering health services to refugees living in the north. With a landlocked, agricultural-based economy, Mali is highly vulnerable to climate change. A catastrophic harvest in 2023 together with escalations in armed conflict have exacerbated food insecurity in Northern and Central Mali.
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Corruption is endemic in Sierra Leone. Sierra Leone is widely considered to be one of the most politically and economically corrupt nations in the world and international rankings reflect this. Transparency International's 2023 Corruption Perceptions Index scored Sierra Leone at 35 on a scale from 0 to 100. When ranked by score, Sierra Leone ranked 108th among the 180 countries in the Index, where the country ranked first is perceived to have the most honest public sector. For comparison with worldwide scores, the best score was 90, the average score was 43, and the worst score was 11. For comparison with regional scores, the average score among sub-Saharan African countries was 33. The highest score in sub-Saharan Africa was 71 and the lowest score was 11. The 2018 Global Competitiveness Report ranked Sierra Leone 109th out of 140 countries for Incidence of Corruption, with country 140 having the highest incidence of corruption. Corruption is prevalent in many aspects of society in Sierra Leone, especially in the aftermath of the Sierra Leone Civil War. The illicit trade in conflict diamonds funded the rebel Revolutionary United Front (RUF) forces during the civil war, leading to fighting between the Sierra Leone Army and the RUF for control of the diamond mines. Widespread corruption in the health care sector has limited access to medical care, with health care workers often dependent on receiving bribes to supplement their low pay.
References
- ↑ "Bamako Initiative". Archived from the original on 2006-11-28. Retrieved 2006-12-28.
- 1 2 3 Chetley, Andrew (1990). A Healthy Business?: World Health and the Pharmaceutical Industry (1st ed.). pp. 126–132. ISBN 978-0862327354.
- ↑ Hardon A (1990). "Ten best readings in … the Bamako Initiative". Health Policy Plan. 5 (2): 186–9. doi:10.1093/heapol/5.2.186.
- ↑ "Bamako Initiative revitalizes primary health care in Benin". Archived from the original on 6 January 2007. Retrieved 2006-12-28.
