General
An Overlooked Public Health Story
Bana Negusse
https://shabait.com/2026/07/28/an-overl ... lth-story/
Jul 28, 2026
Life expectancy is an important health- and development-related statistic. However, it is much more than that. It is also a powerful reflection of a society’s ability to protect, sustain, and improve human life. It captures the combined effects of healthcare access, nutrition, sanitation, education, economic conditions, and public policy. For this reason, it remains one of the most widely recognized indicators of national development and population well-being.
Across the world, life expectancy has increased dramatically over the past century, driven by medical advances, improved living conditions, disease prevention, and stronger public health systems. Unfortunately, however, these gains have not been evenly distributed. While some nations have achieved remarkable progress, others continue to face significant barriers, including limited resources, infrastructure challenges, and persistent health inequalities.
Against this global backdrop, Eritrea represents an often-overlooked public health success story. Despite a variety of challenges, it has achieved one of the most significant improvements in life expectancy in Africa, and even the broader developing world, since independence. Its experience demonstrates how sustained investment in primary healthcare, prevention, community participation, and social infrastructure can produce meaningful health gains even under difficult circumstances.
To begin, international institutions, including the United Nations, the World Health Organization, and the World Bank, define life expectancy as the average number of years a newborn is expected to live if current mortality patterns remain unchanged throughout their lifetime. Although the measure is statistical in nature, its implications extend far beyond a single number.
Life expectancy provides a broad picture of a population’s health status and serves as a key indicator of human development. It is incorporated into the United Nations Human Development Index and is closely associated with improvements in education, income, infrastructure, and social stability. Higher life expectancy generally reflects stronger healthcare systems, improved disease prevention, and better overall living conditions.
Historically, humanity’s progress in life expectancy has been extraordinary. Advances in vaccination, antibiotics, maternal healthcare, clean water access, sanitation, and nutrition have transformed survival outcomes worldwide. Global average life expectancy has risen from around 30–40 years two centuries ago to approximately 74 years today, representing a remarkable achievement in human development.
One overlooked story amidst this backdrop of global progress is
Eritrea. When it gained independence in the early 1990s, life expectancy was below 50 years. The country inherited a fragile healthcare system with limited infrastructure, inadequate medical resources, and significant public health challenges.
Over the following decades, however, Eritrea recorded substantial improvements. Life expectancy has increased to more than 69 years, representing a gain of nearly two decades within a single generation. This progress places Eritrea among the strongest performers in Africa, with life expectancy exceeding the average for Sub-Saharan Africa and narrowing the gap with global levels.
This transformation did not occur through a single policy or isolated intervention, but resulted from a long-term strategy centered on expanding access to essential services, strengthening prevention, and prioritizing healthcare as a foundation of national development.
At the heart of Eritrea’s health strategy has been a strong emphasis on primary healthcare and universal access. The country’s health policy has focused on ensuring that essential services reach communities across urban and rural areas, particularly populations that historically faced barriers to care.
Primary healthcare has served as the backbone of this approach. Free services, including childhood immunizations, maternal and child healthcare, nutrition support, and health education programs, have helped reduce preventable illness and improve survival outcomes.
Additionally, the country has expanded access to treatment for major health challenges, including tuberculosis, HIV/AIDS, hypertension, and diabetes. By emphasizing prevention, early detection, and affordable treatment, Eritrea has worked to reduce both infectious and non-communicable disease burdens.
One of the most significant achievements has been the expansion of healthcare infrastructure in the country. Since independence, Eritrea has multiplied the number of health facilities nationwide, reaching nearly 350 hospitals, health centres, stations, and clinics. Today, more than 80 percent of the population lives within 10 kilometres of a health facility, while over 70 percent live within five kilometres. This expansion has been supported by investments in healthcare professionals. The government has prioritized training, recruitment, and deployment of medical personnel, covering education costs and supporting the growth of a national health workforce capable of serving communities throughout the country.
Notably, Eritrea’s health progress has also been supported by constructive partnerships with trusted international and regional organizations, which have contributed technical expertise, capacity building, and support in areas such as disease prevention, maternal and child health, and health system strengthening. These collaborations have complemented Eritrea’s own investments and helped advance shared public health goals.
Alongside the above, Eritrea’s progress in water, sanitation, and hygiene (WASH) has contributed significantly to reducing preventable diseases. Expanded access to safer water sources and improved sanitation systems has helped lower the spread of waterborne illnesses, reduce childhood mortality, and address neglected tropical diseases such as trachoma and schistosomiasis.
Nutrition has been another important component of the country’s health improvements. Adequate nutrition strengthens immune systems, supports healthy childhood development, and reduces vulnerability to both infectious diseases and chronic conditions later in life. The nation’s investments in agriculture, school feeding initiatives, and community nutrition programs have contributed to reducing undernutrition and improving overall population health.
A crucial element of Eritrea’s progress has been its focus on prevention. Public health campaigns, vaccination programs, and community-based health workers have helped identify risks earlier and reduce disease transmission.
Community participation has been particularly important. By bringing health services closer to households, local health workers have helped improve awareness, encourage preventive practices, and connect people with essential care before illnesses become more serious. This preventive approach has strengthened the efficiency of the health system by reducing pressure on hospitals while improving health outcomes across the population.
Overall, Eritrea’s improvement in life expectancy demonstrates that meaningful public health progress is possible even in countries facing significant economic and structural challenges. Its experience challenges the idea that only wealthy nations can achieve rapid improvements in population health.
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General
Statement by Mr. Biniam Berhe at the 20th Extraordinary Summit of the African Union Assembly on Health
https://shabait.com/2026/07/24/statemen ... on-health/
Jul 24, 2026
Statement by the
Delegation of the State of Eritrea at the
20th Extraordinary Session of the African Union Assembly on
Ending AIDS by 2030, Addressing Preventable Maternal Deaths, Communicable and Non-Communicable Diseases Endemic to the Continent, and Strengthening Health Systems by 2030;
22 July 2026, Accra, Ghana
Your Excellency Chairperson,
All Protocol Observed,
I wish, at the outset, to express my delegation’s gratitude to the people and Government of the Republic of Ghana for the warm hospitality accorded to us since our arrival in the beautiful city of Accra.
The holding of this Extraordinary Summit with the theme
Health Justice, Equity and Universal Health Coverage in Africa
is important and timely.
The draft AU Roadmap to 2030 and beyond towards ending HIV/AIDS by 2030, addressing preventable maternal deaths, communicable and non-communicable diseases and strengthening health systems, presented for adoption by this Summit is an important initiative.
Mr. Chairperson,
In the spirit of experience sharing that can accelerate that implementation of the Roadmap, I wish to briefly share Eritrea’s experience in advancing maternal, newborn, and child health; and health equity.
Eritrea considers health as a fundamental human right. Guided by the principle of social justice, Eritrea is committed to ensuring that every citizen—regardless of where they live—has equitable access to quality healthcare at nominal cost or free of charge.
This commitment is operationalized through a strong Primary Health Care system. Today, more than 80 percent of Eritrea’s population lives within 10 kilometers of a functional primary health facility, including health stations and health centers. By decentralizing health services, Eritrea has shifted resources into rural communities, bringing preventive, maternal, and essential healthcare closer to the people and reducing geographic disparities.
However, expanding access alone is not enough. Between 2022 and 2026, Eritrea strengthened quality assurance across all levels of primary healthcare, ensuring that increased access is matched by high standards of care.
Mr. Chairperson,
One of the areas where Eritrea has made significant progress is maternal and newborn health. The country has placed mothers and newborns at the center of its national development agenda through sustained investment in a resilient and expanding healthcare system.
Coverage of antenatal care has steadily improved, with the proportion of pregnant women receiving at least one skilled antenatal consultation increasing from 83 percent in 2022 to 87 percent in 2025. Facility-based deliveries also rose significantly—from 73 percent to 85 percent over the same period—reflecting growing confidence in the health system and improved access to skilled birth attendance. At the same time, Eritrea expanded surgical capacity in zonal hospitals, increasing the national Caesarean section rate from 3.8 percent to 6.5 percent by 2025, bringing it within the World Health Organization’s recommended range of 5 to 15 percent.
A key contributor to this success has been the establishment of 159 functional Maternity Waiting Homes located near hospitals and health centers. These facilities provide expectant mothers from remote communities with safe accommodation before delivery, helping to overcome the challenges posed by difficult terrain and long travel distances.
Mr. Chairperson,
These investments have translated into tangible health outcomes. Maternal mortality declined significantly, from 291 deaths per 100,000 live births in 2023 to 184 in 2026. Neonatal mortality also fell markedly, from 34 to 18 deaths per 1,000 live births.
Community-based healthcare remains the backbone of Eritrea’s health system. Community Health Workers, known locally as Community Health Agents, connect formal health services with remote villages, ensuring continuity of care through health promotion, disease prevention, and early treatment.
Eritrea has consistently maintained routine immunization coverage of approximately 98 percent. Community Health Agents play a central role in the Expanded Programme on Immunization.
The same community-driven model has contributed to Eritrea’s internationally recognized progress toward malaria elimination. Community Health Workers diagnose and manage around 80 percent of uncomplicated malaria cases directly at the village level, ensuring prompt treatment and reducing transmission.
To reach the country’s most isolated populations, Eritrea has also revitalized its Barefoot Doctor initiative. Originally developed during the struggle for independence and reintroduced in 2019. The program provides a flexible, community-based healthcare safety net for remote and nomadic communities. Following six months of formal training, Barefoot Doctors deliver essential preventive and basic curative services, extending the reach of the national health system to populations that would otherwise remain underserved.
Through its long-standing unwavering commitment to social justice, strong primary healthcare, community participation, and equitable access, Eritrea continues to demonstrate that meaningful health gains are possible when no community is left behind.
Mr. Chairperson,
Following the adoption of the roadmap, the issue that requires the full attention of the African Union and its Member States is the practical implementation of the plan by putting in place conducive policies, dedicating adequate human and financial resources, with a focus on the needs of disadvantaged section of the societies.
In conclusion, I wish to reaffirm that Eritrea will redouble its efforts towards expediting the achievement of health-related development goals at national level and remains committed to working hand in hand with sisterly African countries for the achievement of the goals at regional and continental levels.
Thank you!
_____________
Recently, the Al-Basar Organization from
has been supporting ophthalmology in 
.
Local News
Successful Cataract Surgery Performed on Over 400 Patients
https://shabait.com/2026/07/30/successf ... -patients/
Keren, 30 July 2026 – A Sudanese Al-Beser Ophthalmology team, in collaboration with Eritrean medical experts, successfully performed eye surgeries on over 400 patients at Keren Referral Hospital from 20 to 26 July.
Mr.
Alem Zekarias, Head of Blindness Control at the Ministry of Health, said that prior to the surgeries, eye examinations were conducted on about 3,000 patients. Of these, 406 underwent surgery, while others were provided with eyeglasses.
Noting that the program was part of the national campaign to control blindness, Mr. Alem said that the surgeries conducted in collaboration with the Sudanese Al-Beser Ophthalmology team was part of ongoing efforts to prevent and treat blindness.
Mr. Alem further stated that cataracts, trachoma, and other ophthalmic diseases can be treated through medication or surgery. He urged citizens experiencing eye complications to seek treatment from medical professionals and advised patients who had undergone surgery to properly use the prescribed medicines and follow the medical guidance provided.
Dr.
Yafet Hailemicael, Medical Director of Keren Referral Hospital, indicated that the surgeries conducted in collaboration with the Sudanese Al-Beser Ophthalmology team were a continuation of similar programs previously carried out at the hospital. He also commended the Al-Beser team for its contribution.
The Sudanese Al-Beser medical team has conducted similar services in Eritrea on 15 occasions.